Endovascular Repair of Descending Thoracic Aortic Aneurysms

Adv Surg. 2022 Sep;56(1):129-150. doi: 10.1016/j.yasu.2022.02.005.

Abstract

Descending thoracic aortic aneurysms (DTAAs) are an important cause of morbidity and mortality in the elderly. Once diagnosed, they should be surveilled and then repaired at a diameter of 5.5 to 6 cm, depending on the individual patient's physiologic and anatomic risk of repair. Thoracic endovascular aortic repair (TEVAR) is the preferred approach for repair and there are multiple procedural adjuncts that can expand indications for and use of TEVAR. Spinal cord injuries are an important and highly morbid complication after TEVAR and it is imperative to mitigate this risk.

Keywords: Penetrating aortic ulcer; Spinal cord protection; TEVAR; Thoracic aortic aneurysm.

Publication types

  • Review

MeSH terms

  • Aged
  • Aortic Aneurysm, Thoracic* / complications
  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / surgery
  • Endovascular Procedures* / adverse effects
  • Humans
  • Treatment Outcome