ENDOVASCULAR REPAIR OF DESCENDING THORACIC AORTIC ANEURYSM

Abstract

Thoracic endovascular aortic repair (TEVAR) represents an attractive alternative to open surgical repair in the treatment of descending thoracic aortic pathologies.Any decision to offer a patient with an aneurysm of the descendingthoracic aorta a procedure, either open or endovascular, must balance thepatient’s expected prognosis and life expectancy without interventionagainst the risk of undergoing the procedure. At present, for descendingthoracic aorta repairs, there is no level A or B evidence (results fromprospective, randomized trials) to compare medical therapy with surgicalintervention. Furthermore, there is no level A or B evidence comparingthe results of open procedures with endovascular stent-graft procedures

Key words: Endovascular, Aneurysms, TEVAR, Descending, Thoracic Aorta, surgery