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Int J Angiol 2018; 27(04): 177-184
DOI: 10.1055/s-0038-1666972
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Indications for Thoracic EndoVascular Aortic Repair (TEVAR): A Brief Review

Frank Manetta
1   Department of Cardiovascular and Thoracic Surgery, Northwell Health, Bay Shore, New York
2   Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra University, Hempstead, New York
,
Joshua Newman
2   Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra University, Hempstead, New York
,
Allan Mattia
1   Department of Cardiovascular and Thoracic Surgery, Northwell Health, Bay Shore, New York
2   Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra University, Hempstead, New York
› Author Affiliations
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Publication History

Publication Date:
02 August 2018 (online)

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Abstract

The utility of Thoracic EndoVascular Aortic Repair (TEVAR) continues to progress at a very rapid rate. Initially implemented for the treatment of thoracic aortic aneurysms, TEVAR has evolved to treat a variety of aortic pathologies and reduce overall morbidity and mortality rates compared with traditional open surgical repair.

Given the rapidly evolving nature of endovascular thoracic intervention, we hereby briefly review the current literature on the evolving applications of TEVAR.

TEVAR continues to rapidly evolve and is being applied to a growing number of aortic pathologies. Given the perioperative, short- and mid-term morbidity and mortality rates, TEVAR is quickly surpassing traditional open surgical intervention as the ideal procedure for patients undergoing intervention of the descending thoracic aorta and applicability to ascending and arch pathologies is being explored. However, as more data becomes available TEVAR may be associated with higher rates of reoperative requirements. Data remains limited on the long-term efficacy of the intervention and should continue to be investigated.

Keywords

aneurysm - aortic dissection - endograft placement - endovascular repair - TEVAR - pseudoaneurysm

Letter to this article:

Comment on: Indications for Thoracic Endovascular Aortic Repair (TEVAR): A Brief Review by Frank Manetta, MD, Joshua Newman, MS, Allan Mattia, MD. Int J Angiol 2018; 28:177–184Int J Angiol 2019; 28(02): 151-152
DOI: 10.1055/s-0039-1679872

 

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