National Outcomes of Elective Hybrid Arch Debranching with Endograft Exclusion versus Total Arch Replacement Procedures: Analysis of the Society of Thoracic Surgeons Adult Cardiac Surgery Database.

21%). 12 This study suggested that hybrid arch procedures should be considered primarily in high-risk patients, where prolonged circulatory arrest periods may not be well tolerated. A meta-analysis comparing TAR with hybrid arch procedures showed that operative mortality was similar (OR = 0.67), with a nonsignificant trend to higher neurologic complications with the hybrid arch group (OR = 1.93; 95% confidence interval [CI]: 0.86–4.37, p = 0.1). 2 A meta-analysis of hybrid arch procedures showed a 30-day mortality of 11.9%, stroke rate of 7.6%, and spinal cord injury rate of 3.6%. 14 A similar meta-analysis

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