Aortic Disease

Thoracic Endovascular Repair First for Extensive Aortic Disease: The Staged Hybrid Approach

Open and endovascular approaches to aortic repair are complementary. Patients with the most extensive disease, such as those with chronic aortic dissection or connective tissue disorders, often require multiple operations that are staged over time. By combining open and endovascular procedures to completely replace the aorta, the overall risk can be lessened. (1,2)

Thoracoabdominal Aortic Aneurysm Surgery, In-Hospital Mortality, Elective Procedures

2014 – 2018

The complex nature of thoracoabdominal aortic aneurysm (TAAA) procedures is associated with a greater risk of death. Cleveland Clinic continuously strives to maintain the lowest mortality rates possible.

The in-hospital mortality rate for patients who had elective open TAAA procedures was 3.0% in 2018, and 2.0% for procedures done from 2014 through 2017. The in-hospital mortality rate for elective endovascular TAAA procedures was 0.00% in 2018, and 3.26% for procedures done from 2014 through 2017.



  1. Vivacqua A, Idrees JJ, Johnston DR, Soltesz EG, Svensson LG, Roselli EE. Thoracic endovascular repair first for extensive aortic disease: the staged hybrid approach. Eur J Cardiothorac Surg. 2016 Mar;49(3):764-769.
  2. Roselli EE, Idrees JJ, Lowry AM, Masabni K, Soltesz EG, Johnston DR, Kalahasti V, Blackstone EH, Sabik JF 3rd, Lytle BW, Svensson LG. Beyond the aortic root: Staged open and endovascular repair of arch and descending aorta in patients with connective tissue disorders. Ann Thorac Surg. 2016 Mar;101(3):906-912.