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Review
. 2020 Dec;43(12):1770-1778.
doi: 10.1007/s00270-020-02526-1. Epub 2020 May 24.

Current Status of Endoluminal Treatment of Descending Thoracic Aortic Aneurysms

A Claire Watkins  1 , Alex Dalal  1 , Jason T Lee  2 , Michael D Dake  3
Affiliations
Review

Current Status of Endoluminal Treatment of Descending Thoracic Aortic Aneurysms

A Claire Watkins et al. Cardiovasc Intervent Radiol. 2020 Dec.

Abstract

Thoracic endovascular aortic repair (TEVAR) was proved to be effective in thoracic descending aortic aneurysm (TDAA) repair in 1994 and approved by the FDA in 2005. Since then, TEVAR has become the first-line, recommended treatment for intact or ruptured DTAA or as a bridge to definitive open surgical repair in connective tissue disease. TEVAR has decreased perioperative morbidity and mortality compared to open surgery due to the lack of thoracotomy, aortic cross-clamping and left heart bypass. Improvement in materials, manufacturing and device delivery systems have allowed for the expansion of indications. Thoughtful and accurate pre-procedure planning is the hallmark of successful TEVAR. Familiarization and adherence to the instructions for use for an aortic device will give the best possible chance of success.

Keywords: Aortic stent graft; Thoracic aortic aneurysm; Thoracic endovascular aortic repair.

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