Simultaneous complete supraaortic debranching and thoracic aortic endografting in an angiography suite setting

Philipp Geisbüsch1, Barry T Katzen, Niberto Moreno

  • 1Division of Vascular and Interventional Radiology, Baptist Cardiac and Vascular Institute, 8900 N Kendall Dr, Miami, FL 33176, USA.

Insights

This study shows that hybrid aortic arch procedures, combining supraaortic debranching and endografting, can be safely performed in an angiography suite. Careful attention to logistical and structural requirements is key for success.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Cardiovascular Imaging

Background:

  • Hybrid aortic arch procedures combine open surgical debranching with endovascular repair.
  • Performing these complex procedures in an angiography suite presents unique logistical challenges.

Observation:

  • A case series of three patients undergoing simultaneous supraaortic debranching and thoracic aortic endografting was conducted.
  • The focus was on the logistical and structural aspects of performing these hybrid procedures in an angiography suite.
  • Key considerations included suite size, equipment availability, surgical instrument supply, and safety protocols.

Findings:

  • Simultaneous aortic arch hybrid procedures are feasible in an angiography suite.
  • Successful implementation depends on addressing specific structural and logistical requirements.
  • The clinical outcomes for the three patients were reported, demonstrating initial success.

Implications:

  • This approach may offer an alternative for complex aortic arch interventions.
  • Further research is needed to validate these findings in larger cohorts.
  • Optimizing angiography suite settings can enhance hybrid aortic procedure delivery.

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