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Vol 24, No 1-2 (2022)
Case report
Published online: 2023-07-25

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Multi-staged hybrid therapy of dissected thoracoabdominal aortic aneurysm

Wiktoria Kuczmik1, Agata Suleja1, Karol Magiera1, Maciej Juśko2, Piotr Kasprzak3, Wacław Kuczmik2
Chirurgia Polska 2022;24(1-2):40-46.

Abstract

Dissecting thoracoabdominal aortic aneurysm (TAAA) is still a huge challenge for modern medicine. The treatment of TAAA uses the methods of classical surgery, endovascular surgery and a combination of both techniques. Regardless of the treatment method used, apart from perioperative mortality and renal failure, ischemia of the spinal cord with the risk of paresis and even paraplegia of the lower limbs is still a significant, dramatic complication. Despite the use of various methods of prevention, spinal cord ischemia still affects many patients treated for TAAA. Multistage endovascular or hybrid therapy in dissecting TAAA may be a new way to reduce the risk of perioperative complications in electively treated patients.

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