Management of thoracic aortic lesions--the future is endovascular

VASA. Zeitschrift für Gefässkrankheiten
Rolf WeidenhagenThomas Andreas Koeppel

Abstract

Open surgical repair of lesions of the descending thoracic aorta, such as aneurysm, dissection and traumatic rupture, has been the "state-of-the-art" treatment for many decades. However, in specialized cardiovascular centers, thoracic endovascular aortic repair and hybrid aortic procedures have been implemented as novel treatment options. The current clinical results show that these procedures can be performed with low morbidity and mortality rates. However, due to a lack of randomized trials, the level of reliability of these new treatment modalities remains a matter of discussion. Clinical decision-making is generally based on the experience of the vascular center as well as on individual factors, such as life expectancy, comorbidity, aneurysm aetiology, aortic diameter and morphology. This article will review and discuss recent publications of open surgical, hybrid thoracic aortic (in case of aortic arch involvement) and endovascular repair in complex pathologies of the descending thoracic aorta.

Citations

Apr 2, 2014·Journal of Cardiac Surgery·Zhang KefengSun Lizhong
Nov 12, 2014·Postgraduate Medicine·Olusegun O Osinbowale, Hernan A Bazan

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