Key result
A hybrid approach using antegrade debranching and endovascular aneurysm repair successfully treated a complex suprarenal abdominal aortic aneurysm, maintaining graft patency with no adverse events at 6 months.
Case Report (n=1)
No
A hybrid approach combining open antegrade debranching and endovascular stent placement was successfully utilized to treat complex suprarenal and infrarenal abdominal aortic aneurysms.
Hybrid repair may be feasible for select complex suprarenal AAAs; leaves open need for prospective validation before broader adoption.
We report a hybrid repair approach to the treatment of abdominal aortic aneurysm in patients with complex anatomies when typical endovascular aneurysm repair is limited due to juxtarenal involvement. A 63-year-old man presented with a 3-day history of fever and abdominal pain. He was diagnosed with acute cholecystitis along with incidental findings of two separate aneurysms of the abdominal aorta: a 3.7 cm saccular aneurysm at the suprarenal level, and a 6.6 cm fusiform aneurysm above the iliac bifurcation. He was treated with a hybrid technique involving an open approach for antegrade debranching of the superior mesenteric artery, and renal arteries and endovascular stent placement for treatment of an abdominal aortic aneurysm. The procedure was successfully completed with no adverse events as of the most recent 6-month outpatient follow-up.
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Kim et al. (2014) conducted a case report in Abdominal aortic aneurysm (n=1). Hybrid repair (antegrade debranching with EVAR) was evaluated on Procedural success and graft patency. A hybrid approach using antegrade debranching and endovascular aneurysm repair successfully treated a complex suprarenal abdominal aortic aneurysm, maintaining graft patency with no adverse events at 6 months.
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