. Author manuscript; available in PMC: 2014 Jul 9.

Published in final edited form as: J Vasc Surg. 2012 May 9;56(3):621–629. doi: 10.1016/j.jvs.2011.11.149

Table I.

Patient selection criteria for the hybrid thoracoabdominal aortic aneurysm (TAAA) repair¹⁴

Selection criteria^a	Comments
Age ≥65 years	Increased mortality in prior studies⁵ of open repair.
Cardiac disease	Avoids CPB ± cross-clamp, and single-lung ventilation lessens hemodynamic stress. Allows repair in patients with concomitant aortic insufficiency.
Pulmonary disease	No thoracotomy, single-lung ventilation, or CPB lessens pulmonary morbidity.
Renal insufficiency	Increased mortality in prior studies⁵ of open repair. Sequential revascularization strategy minimizes renal ischemia; generally modest contrast loads.
Prior open abdominal or descending thoracic or TAAA repair	Avoids redo-chest exposure; existing aortic grafts generally excellent landing zones. Infrarenal grafts provide good inflow source for visceral debranching graft.

CPB, Cardiopulmonary bypass.

These criteria are relative factors in the decision-making process but are not absolute indications or contraindications. Ideally, the decision for conventional vs hybrid repair should be made by a surgical team with expertise in both techniques, and consideration of institutional results with each technique should factor heavily into the decision-making process.