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CC BY 4.0 · Aorta (Stamford) 2018; 06(05): 109-112
DOI: 10.1055/s-0038-1669415
Pro-Con Debate
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hybrid Arch for Acute Type A Aortic Dissection: When to Deploy the Endograft? Debate: Frozen versus Staged?

Jehangir J. Appoo
1   Division of Cardiac Surgery, Libin Cardiovascular Institute, University of Calgary, Cumming School of Medicine, Calgary, Canada
,
Akash Fichadiya
1   Division of Cardiac Surgery, Libin Cardiovascular Institute, University of Calgary, Cumming School of Medicine, Calgary, Canada
,
Holly N. Smith
1   Division of Cardiac Surgery, Libin Cardiovascular Institute, University of Calgary, Cumming School of Medicine, Calgary, Canada
,
Vamshi K. Kotha
2   Department of Diagnostic Imaging, University of Calgary, Cumming School of Medicine, Calgary, Canada
,
Eric J. Herget
2   Department of Diagnostic Imaging, University of Calgary, Cumming School of Medicine, Calgary, Canada
,
Alexander J. Gregory
3   Department of Anaesthesia, University of Calgary, Cumming School of Medicine, Calgary, Canada
,
Wilson Y. Szeto
4   Division of Cardiac Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
› Author Affiliations Funding None
Further Information

Publication History

25 May 2018

12 June 2018

Publication Date:
19 November 2018 (online)

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Abstract

Advances in open and endovascular techniques have resulted in novel approaches to repair of acute Type A aortic dissection. Hybrid arch procedures involve open arch resection and stent grafting of the descending aorta with stent graft insertion in one of two ways: Frozen or Staged. In this article, pros and cons of the two different paradigms of emerging hybrid arch techniques for acute Type A aortic dissections are discussed.

Keywords

aortic dissection - TEVAR - hybrid arch
 

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