Long-term follow-up of the VORTEC technique: A clampless, sutureless technique for supra-aortic debrancing

Hybrid procedures combining open revascularization techniques for supra-aortic branches and aortic stent grafting represent alternatives for aortic arch pathologies. The Sutureless Telescoping Anastomotic Technique-Viabahn Open Revascularization TEChnique (STAT-VORTEC) simplifies debranching. In 55 patients (2008-2018), STAT-VORTEC was performed on 127 of a 148 vessels for debranching. The technical success rate was 100% with no graft occlusion within the first 30 days. Over a mean follow-up of 45 months, the occlusion rate of the STAT-VORTEC was <1%. Perioperative mortality was 7.3%. Neurological complications were noted at 9% with only one complication after STAT-VORTEC. The STAT-VORTEC is an easy-to-learn technique with good long-term patency.