title: TEVAR: the solution to all aortic problems?
abstract: Chronic as well as acute diseases of the thoracic aorta are attracting increasing attention, both in the light of an ageing Western and Oriental population and with the proliferation of modern diagnostic imaging modalities. While classic surgical strategies still dominate the treatment of pathology of the ascending aorta and the proximal arch region, new endovascular concepts are emerging and are likely to evolve as primary treatment strategies for descending and abdominal aortic pathology. Additionally, aortic arch pathologies are becoming the target of hybrid approaches combining surgical head-vessel debranching and interventional stent-graft implantation in an attempt to improve outcome by avoiding the high risk of open arch repair or complete replacement. Nonetheless, due to the complexity of the underlying vascular disease, each patient should be discussed in a team consisting of cardiologists, cardiac surgeons, and an imaging specialist in order to design an individualized therapeutic strategy carried out best in a center with experience in both endovascular and surgical procedures.
authors: Heart Center Rostock, Department of Internal Medicine I, University Hospital Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.
authors: I
authors: I
authors: Akin
authors: S
authors: S
authors: Kische
authors: T C
authors: TC
authors: Rehders
authors: H
authors: H
authors: Schneider
authors: H
authors: H
authors: Ince
authors: C A
authors: CA
authors: Nienaber
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D017130:Angioplasty; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D033183:Interdisciplinary Communication; D010348:Patient Care Team; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D015607:Stents; D015996:Survival Rate; D014057:Tomography, X-Ray Computed