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IR Playbook pp 197-207 | Cite as

Abdominal and Thoracic Aortic Aneurysms

  • Andy Lee
  • Michael D. Dake
Chapter

Abstract

The management of aortic aneurysms has evolved over the last 15 years from open surgical repair as the standard therapy to endovascular stent-graft placement as the treatment of choice in anatomically suitable patients. This chapter introduces the basic pathophysiology, clinical symptoms, and indications for repair of both abdominal (AAA) and thoracic aortic aneurysms (TAA) and describes the conventional approaches of conservative medical management and open surgical repair for these lesions. The concept and rationale supporting endovascular AAA repair (EVAR) and TAA repair (TEVAR) are presented. The importance of pre-procedure planning is emphasized, and a detailed “How To” section explains the technical steps of the procedures. The most common risks and complications of EVAR and TEVAR are reviewed, and tips to avoid these adverse events are provided.

Keywords

Abdominal aortic aneurysm (AAA) Thoracic aortic aneurysm (TAA) Endovascular management EVAR TEVAR Crawford classification 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Vascular SurgeryBeth Israel Deaconess Medical CenterBostonUSA
  2. 2.Department of Cardiothoracic SurgeryStanford University Medical CenterStanfordUSA

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