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Current Status of Endoluminal Treatment of Descending Thoracic Aortic Aneurysms


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.

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This study was not supported by any funding.

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Correspondence to Michael D. Dake.

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MDD is a consultant for Cook Medical and on the medical advisory board at WL Gore. CAW is a consultant for WL Gore and Terumo Aortic.

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Watkins, A.C., Dalal, A., Lee, J.T. et al. Current Status of Endoluminal Treatment of Descending Thoracic Aortic Aneurysms. Cardiovasc Intervent Radiol 43, 1770–1778 (2020).

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  • Thoracic aortic aneurysm
  • Thoracic endovascular aortic repair
  • Aortic stent graft