TY - DATA T1 - Hybrid Approach of Aortic Diseases: Zone 1 Delivery and Volumetric Analysis on the Descending Aorta PY - 2017/12/05 AU - José Augusto Duncan AU - Ricardo Ribeiro Dias AU - Fabrício José Dinato AU - Fábio Fernandes AU - Félix José Álvares Ramirez AU - Charles Mady AU - Fabio Biscegli Jatene UR - https://scielo.figshare.com/articles/dataset/Hybrid_Approach_of_Aortic_Diseases_Zone_1_Delivery_and_Volumetric_Analysis_on_the_Descending_Aorta/5668387 DO - 10.6084/m9.figshare.5668387.v1 L4 - https://ndownloader.figshare.com/files/9901684 L4 - https://ndownloader.figshare.com/files/9901702 L4 - https://ndownloader.figshare.com/files/9901711 L4 - https://ndownloader.figshare.com/files/9901729 L4 - https://ndownloader.figshare.com/files/9901738 L4 - https://ndownloader.figshare.com/files/9901744 L4 - https://ndownloader.figshare.com/files/9901753 L4 - https://ndownloader.figshare.com/files/9901768 KW - Aorta, Thoracic KW - Aneurysm, Dissecting KW - Minimally Invasive Surgical Procedures N2 - Abstract Introduction: Conventional techniques of surgical correction of arch and descending aortic diseases remains as high-risk procedures. Endovascular treatments of abdominal and descending thoracic aorta have lower surgical risk. Evolution of both techniques - open debranching of the arch and endovascular approach of the descending aorta - may extend a less invasive endovascular treatment for a more extensive disease with necessity of proximal landing zone in the arch. Objective: To evaluate descending thoracic aortic remodeling by means of volumetric analysis after hybrid approach of aortic arch debranching and stenting the descending aorta. Methods: Retrospective review of seven consecutive patients treated between September 2014 and August 2016 for diseases of proximal descending aorta (aneurysms and dissections) by hybrid approach to deliver the endograft at zone 1. Computed tomography angiography were analyzed using a specific software to calculate descending thoracic aorta volumes pre- and postoperatively. Results: Follow-up was done in 100% of patients with a median time of 321 days (range, 41-625 days). No deaths or permanent neurological complications were observed. There were no endoleaks or stent migrations. Freedom from reintervention was 100% at 300 days and 66% at 600 days. Median volume reduction was of 45.5 cm3, representing a median volume shrinkage by 9.3%. Conclusion: Hybrid approach of arch and descending thoracic aorta diseases is feasible and leads to a favorable aortic remodeling with significant volume reduction. ER -