Thoracic endovascular aortic repair: are we approaching total endovascular solutions for thoracic aortic disease?

Multimed Man Cardiothorac Surg. 2014 Jul 10:2014:mmu009. doi: 10.1093/mmcts/mmu009. Print 2014.

Abstract

Thoracic endovascular aortic repair (TEVAR) has become an attractive alternative treatment option for thoracic aortic disease. New devices and advanced image-guided procedures are continuously expanding the indications. This article focuses on currently available endovascular solutions for thoracic aortic disease and future 'all endovascular' directions of TEVAR. Currently available endovascular solutions, such as hybrid operations, chimney stent grafting and transapical stent graft deployment, for ascending aortic pathologies are presented. Additionally, the impact of upcoming new technologies, such as endovascular treatment of Stanford Type A dissections of the ascending aorta, is elaborated. With improving device technology, diverse available stent grafts and imaging modalities, TEVAR has become safer and holds promising potential to expand treatment options, especially for the ascending aorta and the aortic arch.

Keywords: Aorta; Aortic disease; Stent; Thoracic.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Aneurysm, False* / diagnosis
  • Aneurysm, False* / physiopathology
  • Aneurysm, False* / surgery
  • Aorta, Thoracic* / pathology
  • Aorta, Thoracic* / surgery
  • Aortic Diseases* / diagnosis
  • Aortic Diseases* / physiopathology
  • Aortic Diseases* / surgery
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Blood Vessel Prosthesis Implantation* / methods
  • Brain Ischemia* / epidemiology
  • Brain Ischemia* / etiology
  • Echocardiography
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / instrumentation
  • Endovascular Procedures* / methods
  • Female
  • Humans
  • Intraoperative Care / methods
  • Male
  • Postoperative Complications / epidemiology*
  • Prosthesis Design
  • Prosthesis Fitting / methods
  • Spinal Cord Ischemia* / epidemiology
  • Spinal Cord Ischemia* / etiology
  • Stents / classification*
  • Treatment Outcome