Hybrid approaches
Type
ReinforcementConfidence
88%
Created
Apr 23, 2026
Evidence
2 sources
Rationale
The article provided (PMID 39148208, Rossi MJ 2024) is already cited in the section under the key Rossi MJ et al. The suggested variant key rossi 2024 scoping refers to the same source. Per the integration rules, existing citation keys should be reused rather than creating needless variants for the same PMID/DOI. Since the article does not introduce any new claims beyond what is already captured in the existing bullet point, no content changes or additional citations are warranted. The section remains accurate and appropriately cited as-is.
Evidence
carotid–subclavian and carotid–carotid bypasses in patients with thoracic aortic aneurysms can provide a landing zone during the endovascular treatment of a thoracoabdominal or thoracic aortic aneurysm.
Content Changes
* Hybrid approaches for the aortic arch typically involve extra-anatomical debranching (e.g., carotid-carotid or carotid-subclavian bypass) to create a proximal landing zone for thoracic endovascular aortic repair (TEVAR). [@rutherford2018-rutherford][@rutherford-10e-2022-ch61-open-surgical-technique-p973-14e35b19] * While historically considered to have limited use, these techniques are increasingly employed for complex arch pathology, though standardized definitions of procedural success remain heterogeneous across clinical studies. [@rossi2024] * In the management of common carotid artery (CCA) disease, hybrid interventions—such as retrograde stenting combined with open surgical exposure or carotid endarterectomy—provide a versatile alternative to traditional open or purely endovascular techniques. [@snyder2026]