Hybrid arch repair with brachiocephalic bypass and endovascular stenting offers a technical alternative for high-risk patients with saccular arch aneurysms.
May support hybrid repair feasibility in high-risk patients; leaves open need for comparative trials.
Saccular arch aneurysms can be technically treated by total arch repair with brachiocephalic bypass and concomitant aortic arch stent graft placement. Hybrid arch repair provides an alternative to patients otherwise considered prohibitively high risk for traditional open arch repair.
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Szeto et al. (2007) studied this question.
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