{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:37:57Z","timestamp":1767901077461,"version":"3.49.0"},"reference-count":23,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"2","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>The hybrid method of treating thoracic aortic pathology is devoid of the disadvantages of traditional open surgery and, at the same time, has a broader range of applications than the endovascular method. From 2014 to 2019, we researched 122 patients with thoracic aortic pathology treated with the hybrid method (open surgery with thoracic endovascular aortic repair (TEVAR) at the National M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Science of Ukraine. In the general group, 34 patients had a descending aortic aneurysm without dissection or rupture; 71 patients had an aortic dissection (10 \u2013 acute, 9 \u2013 subacute, 52 \u2013 chronic), penetrating aortic ulcer (PAU) \u2013 7, thoracoabdominal aneurysm (Crawford I-II) \u2013 4, isolated aortic arch aneurysm \u2013 2, residual enlargement aorta after previous ascending aortic grafting causing type A acute aortic dissection (TAAD) \u2013 3, primary aortic thrombosis \u2013 1. Patients admitted as elective surgery candidates had switched aortic arch vessels (debranching) in the first stage and TEVAR in the second stage. For emergencies (aortic rupture with uncontrolled bleeding, malperfusion syndrome), TEVAR operation was performed first. Long-term results of treatment after three and six months are satisfactory. The hybrid technique of aortic arch treatment using modern minimally invasive technologies can eliminate the pathology in the most dangerous segment of the main artery of the body, providing a reasonable level of hospital mortality \u2013 4.2%, and a small number of neurological complications.<\/jats:p>","DOI":"10.25122\/jml-2021-0284","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T16:44:33Z","timestamp":1668789873000},"page":"222-227","source":"Crossref","is-referenced-by-count":2,"title":["A single-center experience in the use of hybrid techniques for thoracic aortic pathology"],"prefix":"10.25122","volume":"15","author":[{"given":"Igor Oleksandrovych","family":"Ditkivskyy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Interventional Cardiology for Congenital and Acquired Heart Disease, Amosov National Institute of Cardiovascular Surgery of National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitaly Ivanovich","family":"Kravchenko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Surgical Treatment of Aortic Pathology, Amosov National Institute of Cardiovascular Surgery of National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Vitaly Ivanovich Kravchenko, Department of Surgical Treatment of Aortic Pathology, Amosov National Institute of Cardiovascular Surgery of National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine. E-mail: kravchenkomd@ukr.net","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleksandra Oleksandrivna","family":"Lohvinenko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Surgical Treatment of Aortic Pathology, Amosov National Institute of Cardiovascular Surgery of National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Ivanovich","family":"Sheremet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Surgery Department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10755","published-online":{"date-parts":[[2022,2]]},"reference":[{"key":"ref1","unstructured":"1. Volodos\u2019 NL, Shekhanin VE, Karpovich IP, Troian VI, Gur\u2019ev IA. [A self-fixing synthetic blood vessel endoprosthesis]. Vestn Khir Im I I Grek. 1986;137(11):123-125."},{"key":"ref2","unstructured":"2. Chiesa R, Melissano G, Setacci C. History of aortic surgery in the world. Minerva Medica; 2014; 2\u201310."},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"3. Nation DA, Wang GJ. TEVAR: Endovascular Repair of the Thoracic Aorta. Semin Intervent Radiol. 2015;32(3):265-271. doi:10.1055\/s-0035-1558824","DOI":"10.1055\/s-0035-1558824"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"4. Grabenw\u00f6ger M, Alfonso F, Bachet J, Bonser R et al. Thoracic Endovascular Aortic Repair (TEVAR) for the treatment of aortic diseases: a position statement from the European Association for Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J. 2012;33(13):1558-1563. doi:10.1093\/eurheartj\/ehs074.","DOI":"10.1093\/eurheartj\/ehs074"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"5. Erbel R, Aboyans V, Boileau C, Bossone E, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014 Nov 1;35(41):2873-926. doi: 10.1093\/eurheartj\/ehu281.","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"6. Riambau V, B\u00f6ckler D, Brunkwall J, Cao P, et al. Editor\u2019s Choice - Management of Descending Thoracic Aorta Diseases: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2017 Jan;53(1):4-52. doi: 10.1016\/j.ejvs.2016.06.005.","DOI":"10.1016\/j.ejvs.2016.06.005"},{"key":"ref7","unstructured":"7. Ueda Y. A reappraisal of retrograde cerebral perfusion. Ann Cardiothorac Surg. 2013;2(3):316-325. doi:10.3978\/j.issn.2225-319X.2013.01.02."},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"8. Antoniou GA, El Sakka K, Hamady M, Wolfe JH. Hybrid treatment of complex aortic arch disease with supra-aortic debranching and endovascular stent graft repair. Eur J Vasc Endovasc Surg. 2010 Jun;39(6):683-90. doi: 10.1016\/j.ejvs.2010.02.002.","DOI":"10.1016\/j.ejvs.2010.02.002"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"9. Czerny M, Schmidli J, Adler S, van den Berg JC, et al. EACTS\/ESVS scientific document group. Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS). Eur J Cardiothorac Surg. 2019 Jan 1;55(1):133-162. doi: 10.1093\/ejcts\/ezy313.","DOI":"10.1093\/ejcts\/ezy383"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"10. Xydas S, Mihos CG, Williams RF, LaPietra A, et al. Hybrid repair of aortic arch aneurysms: a comprehensive review. J Thorac Dis. 2017;9(Suppl 7):S629-S634. doi:10.21037\/jtd.2017.06.47.","DOI":"10.21037\/jtd.2017.06.47"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"11. Nienaber CA, Kische S, Rousseau H, Eggebrecht H, et al. Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial. Circ Cardiovasc Interv. 2013 Aug;6(4):407-16. doi: 10.1161\/CIRCINTERVENTIONS.","DOI":"10.1161\/CIRCINTERVENTIONS.113.000463"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"12. Elhelali A, Hynes N, Devane D, Sultan S, et al. Hybrid repair versus conventional open repair for thoracic aortic arch aneurysms. Cochrane Database Syst Rev. 2021 Jun 4;6(6):CD012923. doi: 10.1002\/14651858.","DOI":"10.1002\/14651858.CD012923.pub2"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"13. Esposito G, Cappabianca G, Bichi S, Cricco A, et al. Hybrid repair of type A acute aortic dissections with the Lupiae technique: ten-year results. J Thorac Cardiovasc Surg. 2015 Feb;149(2 Suppl):S99-104. doi: 10.1016\/j.jtcvs.2014.07.099.","DOI":"10.1016\/j.jtcvs.2014.07.099"},{"key":"ref14","unstructured":"14. Andersen ND, Keenan JE, Ganapathi AM, Gaca JG, et al. Current management and outcome of chronic type B aortic dissection: results with open and endovascular repair since the advent of thoracic endografting. Ann Cardiothorac Surg. 2014;3(3):264-274. doi:10.3978\/j.issn.2225-319X.2014.05.07."},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"15. Nienaber CA, Clough RE. Management of acute aortic dissection. Lancet. 2015 Feb 28;385(9970):800-11. doi: 10.1016\/S0140-6736(14)61005-9.","DOI":"10.1016\/S0140-6736(14)61005-9"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"16. Urbanski P, Luehr M, Bartolomeo R, et al. Multicentre analysis of current strategies and outcomes in open aortic arch surgery: Heterogeneity is still an issue. European Journal of Cardio-Thoracic Surgery. 2016;50:ezw055. doi:10.1093\/ejcts\/ezw055.","DOI":"10.1093\/ejcts\/ezw055"},{"key":"ref17","unstructured":"17. Leontyev S, Misfeld M, Daviewala P, Borger MA, et al. Early- and medium-term results after aortic arch replacement with frozen elephant trunk techniques-a single center study. Ann Cardiothorac Surg. 2013 Sep;2(5):606-11. doi: 10.3978\/j.issn.2225-319X.2013.09.22."},{"key":"ref18","unstructured":"18. Tian DH, Wan B, Di Eusanio M, Black D, Yan TD. A systematic review and meta-analysis on the safety and efficacy of the frozen elephant trunk technique in aortic arch surgery. Ann Cardiothorac Surg. 2013 Sep;2(5):581-91. doi: 10.3978\/j.issn.2225-319X.2013.09.07."},{"key":"ref19","unstructured":"19. Tian DH, De Silva RP, Wang T, Yan TD. Open surgical repair for chronic type B aortic dissection: a systematic review. Ann Cardiothorac Surg. 2014;3(4):340-350. doi:10.3978\/j.issn.2225-319X.2014.07.10."},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"20. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000 Feb 16;283(7):897-903. doi: 10.1001\/jama.283.7.897.","DOI":"10.1001\/jama.283.7.897"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"21. Rousseau H, Revel-Mouroz P, Saint Lebes B, Bossavy JP, et al. Single aortic branch device: the Mona LSA experience. J Cardiovasc Surg (Torino). 2019 Feb;60(1):81-90. doi: 10.23736\/S0021-9509.18.","DOI":"10.23736\/S0021-9509.18.10665-3"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"22. Desai ND, Hoedt A, Wang G, Szeto WY, et al. Simplifying aortic arch surgery: open zone 2 arch with single branched thoracic endovascular aortic repair completion. Ann Cardiothorac Surg. 2018 May;7(3):351-356. doi: 10.21037\/acs.2018.05.08.","DOI":"10.21037\/acs.2018.05.08"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"23. Criado FJ, Abul-Khoudoud OR, Domer GS, McKendrick C, et al. Endovascular repair of the thoracic aorta: lessons learned. 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