title: Standard of practice for the endovascular treatment of thoracic aortic aneurysms and type B dissections.
abstract: Thoracic endovascular aortic repair (TEVAR) represents a minimally invasive technique alternative to conventional open surgical reconstruction for the treatment of thoracic aortic pathologies. Rapid advances in endovascular technology and procedural breakthroughs have contributed to a dramatic transformation of the entire field of thoracic aortic surgery. TEVAR procedures can be challenging and, at times, extraordinarily difficult. They require seasoned endovascular experience and refined skills. Of all endovascular procedures, meticulous assessment of anatomy and preoperative procedure planning are absolutely paramount to produce optimal outcomes. These guidelines are intended for use in quality-improvement programs that assess the standard of care expected from all physicians who perform TEVAR procedures.
authors.affiliation: Department of Radiological Sciences, Vascular and Interventional Radiology Unit, Sapienza University of Rome, Rome, Italy. fabrizio.fanelli@uniroma1.it
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Fanelli
authors.forename: Michael D
authors.initials: MD
authors.lastname: Dake
mesh_terms: D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000592:standards; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000592:standards*; D015641:Radiography, Interventional; D014656:Vascular Surgical Procedures / Q000592:standards*
references.citation: J Vasc Interv Radiol. 2001 May;12(5):575-82
references.pmid: 11340135
references.citation: N Engl J Med. 1993 Jan 7;328(1):35-43
references.pmid: 8416269
references.citation: J Card Surg. 1994 Nov;9(6):713-28
references.pmid: 7841651
references.citation: J Comput Assist Tomogr. 2006 May-Jun;30(3):443-6
references.pmid: 16778619
references.citation: Radiology. 2007 Sep;244(3):692-705
references.pmid: 17709825
references.citation: Ann Thorac Surg. 1996 Jan;61(1):269-70
references.pmid: 8561578
references.citation: Ann Thorac Surg. 2005 Oct;80(4):1280-8; discussion 1288-9
references.pmid: 16181855
references.citation: Circulation. 1995 Feb 1;91(3):728-33
references.pmid: 7828300
references.citation: Radiology. 2003 Oct;229(1):176-83
references.pmid: 12902611
references.citation: J Endovasc Ther. 2003 Apr;10(2):254-9
references.pmid: 12877608
references.citation: J Endovasc Ther. 2002 Jun;9 Suppl 2:II39-43
references.pmid: 12166840
references.citation: Circulation. 2006 Nov 21;114(21):2226-31
references.pmid: 17101856
references.citation: AJR Am J Roentgenol. 2007 Oct;189(4):966-72
references.pmid: 17885072
references.citation: Semin Thorac Cardiovasc Surg. 1991 Oct;3(4):258-65
references.pmid: 1793761
references.citation: J Thorac Cardiovasc Surg. 2002 Nov;124(5):896-910
references.pmid: 12407372
references.citation: Ann Thorac Surg. 1997 Jun;63(6):1533-45
references.pmid: 9205145
references.citation: N Engl J Med. 1999 May 20;340(20):1546-52
references.pmid: 10332016
references.citation: J Vasc Surg. 2008 May;47(5):919-23
references.pmid: 18328666
references.citation: J Cardiovasc Surg (Torino). 2006 Oct;47(5):487-96
references.pmid: 17033597
references.citation: J Vasc Surg. 1986 Apr;3(4):578-82
references.pmid: 3959256
references.citation: Circulation. 1990 Nov;82(5 Suppl):IV24-38
references.pmid: 2225411
references.citation: Circulation. 2003 Aug 5;108(5):628-35
references.pmid: 12900496
references.citation: J Endovasc Ther. 2004 Apr;11(2):170-4
references.pmid: 15056015
references.citation: J Endovasc Ther. 2007 Jun;14(3):347-51
references.pmid: 17723020
references.citation: Ann Surg. 1988 Nov;208(5):619-24
references.pmid: 3190289
references.citation: Eur J Cardiothorac Surg. 2003 May;23(5):788-93; discussion 793
references.pmid: 12754034
references.citation: Surg Technol Int. 2004;12:189-93
references.pmid: 15455325
references.citation: Ann Thorac Surg. 2005 Sep;80(3):857-63; discussion 863
references.pmid: 16122443
references.citation: Radiology. 1996 Oct;201(1):37-41
references.pmid: 8816517
references.citation: Eur J Cardiothorac Surg. 2002 Jul;22(1):59-63
references.pmid: 12103374
references.citation: J Vasc Surg. 1986 Mar;3(3):389-404
references.pmid: 3951025
references.citation: J Vasc Surg. 2002 Jun;35(6):1129-36
references.pmid: 12042714
references.citation: Ann Thorac Surg. 1970 Sep;10(3):237-47
references.pmid: 5458238
references.citation: Br J Surg. 1991 Apr;78(4):401-4
references.pmid: 2032097
references.citation: J Thorac Cardiovasc Surg. 1996 May;111(5):1054-62
references.pmid: 8622303
references.citation: J Thorac Cardiovasc Surg. 1997 Mar;113(3):476-91; discussion 489-91
references.pmid: 9081092
references.citation: J Endovasc Ther. 2007 Aug;14(4):568-73
references.pmid: 17696634
references.citation: N Engl J Med. 1994 Dec 29;331(26):1729-34
references.pmid: 7984192
references.citation: Eur J Vasc Endovasc Surg. 2006 Oct;32(4):349-55
references.pmid: 16753315
references.citation: J Vasc Surg. 2003 Oct;38(4):859-63
references.pmid: 14560246
references.citation: N Engl J Med. 1993 Jan 7;328(1):1-9
references.pmid: 8416265
references.citation: J Vasc Surg. 2005 Feb;41(2):206-12; discussion 212
references.pmid: 15767999
references.citation: Eur J Vasc Endovasc Surg. 2004 May;27(5):492-7
references.pmid: 15079771
references.citation: J Vasc Surg. 1988 Feb;7(2):199-209
references.pmid: 3276932
references.citation: Ann Thorac Surg. 1999 Jun;67(6):1968-70; discussion 1979-80
references.pmid: 10391349
references.citation: Am Heart J. 2005 Apr;149(4):592-9
references.pmid: 15990739
references.citation: Radiology. 2007 Oct;245(1):258-66
references.pmid: 17885194
references.citation: Ann Surg. 1988 Sep;208(3):254-73
references.pmid: 3421752
references.citation: Semin Vasc Surg. 2007 Jun;20(2):81-9
references.pmid: 17580245
references.citation: J Endovasc Ther. 2001 Oct;8(5):472-6
references.pmid: 11718405
references.citation: Am J Cardiol. 1994 Sep 15;74(6):590-5
references.pmid: 8074043
references.citation: J Thorac Cardiovasc Surg. 2006 Aug;132(2):332-9
references.pmid: 16872959