Update in Thoracic Endovascular Aortic Repair

Abstract

            As the general population ages, physicians will continue to encounter more advanced and complex aortic disease and severe comorbidities. In many cases, these comorbidities prohibit open surgical repair of thoracic aortic disease, whereas complex aortic anatomy is prohibitive against standard endovascular repair of both aneurysms and dissection of the thoracic aorta.

Thoracic endovascular aortic repair is a treatment option for aortic diseases and becomes the preferred option for most thoracic aortic disease patients. TEVAR proved itself to this day dued to the need for each innovative step forward to stand on its own merits and increasing accumulation of long-term data. Building on the platform of Thoracic endovascular aortic repair (TEVAR) and the complexities of aortic dieases, procedures have been improved to treat more extensive thoracic aortic diseases with branched stent graft , fenestrated stent graft and custom-made stent graft. These procedures have also been used in thoraco-abdominal aortic aneurysm (TAAA), repairing paravisceral aorta, ascending aorta and aortic arch.