Thoracic endovascular repair (TEVAR) versus open surgery for blunt traumatic thoracic aortic injury

Endovascular versus open surgical repair for blunt thoracic aortic injury.

A best evidence topic in vascular surgery was written according to a structured protocol. The question addressed was whether patients with acute traumatic thoracic aortic injury have a better outcome with endovascular or open surgical repair. Altogether, 283 papers were found using the reported search, of which five represented the best evidence to answer the clinical question. The author, jour...

Thoracic Endovascular Aortic Repair (TEVAR) in traumatic high-velocity blunt injury to thoracic aorta.

Blunt trauma to the thoracic aorta occurs typically in a highvelocity or high-impact motor vehicle accident when there is a combination of sudden deceleration and shearing at the relatively immobile aortic isthmus; the area distal to the left subclavian artery and proximal to the third inter-costal artery, representing the junction between the relatively mobile aortic arch and the fixed descend...

Thoracic endovascular aortic repair (TEVAR)

Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austria; Interventional Cardiology, Clı́nico San Carlos University Hospital, Madrid, Spain; Department of Cardiovascular Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates; Department of Cardiothoracic Surgery, University Hospital Birmingham, NHS Foundation Trust, Birmingham, UK; Department of Cardiovascular Surgery,...

endovascular repair of blunt traumatic thoracic aortic injuries

Thoracic Endovascular Aneurysm Repair (TEVAR) for Ruptured Thoracic Aortic Aneurysms

Repair of Ruptured Descending Thoracic Aortic Aneurysms (rDTAA) remains a challenging surgical undertaking. Although rupture is rare, when it occurs it is often a lethal event. Traditionally the standard of repair for rDTAA has been open surgical repair requiring thoracotomy, aortic cross-clamping, and cardiopulmonary bypass. However, while the standard, these open procedures are accompanied by...