Introduction:

While hybrid techniques have shown tremendous promise in the treatment of aortic arch disease, their implementation in clinical settings, especially in complex cases, remains an important issue. This article delves into the clinical application of hybrid techniques by analyzing several representative cases to explore their effectiveness and advantages in treating aortic arch disease.

Over the years, hybrid techniques have been successfully used to treat many patients with aortic arch disease, especially those considered too high-risk for traditional surgery. Here are a few representative cases:

Case 1: A 65-year-old male patient presented with a large aortic arch aneurysm, complicated by severe coronary artery disease and hypertension. Due to his advanced age and high-risk cardiovascular condition, he was deemed unfit for conventional open surgery. After a multidisciplinary consultation, the decision was made to treat him with hybrid techniques. Initially, an interventional procedure was used to implant a vascular stent, restoring blood flow to the affected area. Subsequently, a minimally invasive surgical procedure was performed to repair other areas of the aorta. The patient recovered quickly, with a hospital stay of only one week and no major complications.

Case 2: A 58-year-old female patient was diagnosed with aortic arch dissection, with comorbidities including diabetes and chronic kidney disease. Due to her diabetes and compromised renal function, traditional surgery posed significant risks. The medical team opted for hybrid techniques, which allowed for a safe and effective treatment. Postoperative recovery was smooth, with the patient discharged after 10 days, and follow-up imaging showed good results at the site of the repair.

These case studies demonstrate the benefits of hybrid techniques, particularly for high-risk patients. The ability to combine minimally invasive stent implantation with open surgery provides an effective treatment solution while minimizing the risks and recovery time.

The clinical success of hybrid techniques in treating aortic arch disease highlights their significant potential, particularly for high-risk patients who may not be candidates for traditional surgery. As experience with these techniques grows, they will likely become a standard part of vascular surgeons' toolkits, offering more tailored and safer treatment options for patients.