Advanced
Technical
IVT
hybrid aortic arch repair
A combined surgical and endovascular approach for treating complex aortic arch pathology.
Full Definition
Hybrid aortic arch repair combines open surgical debranching of arch vessels with subsequent endovascular stent-graft deployment to treat complex aortic arch aneurysms or dissections. The procedure typically involves surgical bypass or transposition of arch vessels (innominate, left carotid, and left subclavian arteries) followed by endovascular exclusion of the arch pathology. This approach offers reduced operative risk compared to total arch replacement while providing durable repair in high-risk patients or complex anatomy.
Usage
Usage note: Describe both surgical and endovascular components when documenting.
In Context
- "The patient underwent hybrid aortic arch repair with carotid-subclavian bypass followed by thoracic endovascular repair." — Operative report
- "Hybrid aortic arch repair was selected over open total arch replacement due to the patient's high operative risk." — Pre-operative consultation
Also known as
hybrid arch procedure
debranching with TEVAR
Contrasted with
total arch replacement
Don't confuse with
frozen elephant trunk
total arch replacement