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Irish Journal of Medical Science

, Volume 183, Issue 2, pp 153–160 | Cite as

Endovascular repair of thoracoabdominal aortic aneurysm (TAAA): early experience

  • E. A. H. KheirelseidEmail author
  • R. Gardiner
  • S. N. Haider
  • Z. Martin
  • M. P. Colgan
  • S. M. O’Neill
  • P. Madhavan
Original Article

Abstract

Background

Repair of thoracoabdominal aortic aneurysms (TAAA) represents a considerable technical challenge. Since its first description in 1955, open repair of TAAA has been considered the gold standard of repair. Despite improvements in surgical techniques, spinal cord protection and post-operative critical care support, patients who undergo open repair are faced with a mortality rate of 5–35 %. We report the first Irish experience of endovascular management of TAAAs.

Results

To date five patients have undergone endovascular repair; four had hybrid repair and one a fenestrated graft. The mean age of the patients was 66.8 ± 3.4 and the mean aneurysm diameter was 6.74 ± 0.6 cm. All patients were ASA III. Two-stage hybrid repair was associated with an increased risk of complications, prolonged intensive care unit and overall hospital stay. One patient died in the perioperative period due to rupture of their aneurysm between the two stages of their hybrid repair.

Conclusion

The role of endovascular techniques in the treatment of TAAA continues to evolve. Hybrid and complete endovascular repairs do not replace conventional repair, but provide an alternative for high-risk patients who might otherwise be denied treatment.

Keywords

Thoracoabdominal aortic aneurysm Endovascular repair of aneurysm 

Notes

Conflict of interest

None.

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Copyright information

© Royal Academy of Medicine in Ireland 2013

Authors and Affiliations

  • E. A. H. Kheirelseid
    • 1
    Email author
  • R. Gardiner
    • 1
  • S. N. Haider
    • 1
  • Z. Martin
    • 1
  • M. P. Colgan
    • 1
  • S. M. O’Neill
    • 1
  • P. Madhavan
    • 1
  1. 1.Department of Vascular and Endovascular SurgerySt. James’s HospitalDublin 8Ireland

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