title: Thoracic endovascular aortic repair: are we approaching total endovascular solutions for thoracic aortic disease?
abstract: Thoracic endovascular aortic repair (TEVAR) has become an attractive alternative treatment option for thoracic aortic disease. New devices and advanced image-guided procedures are continuously expanding the indications. This article focuses on currently available endovascular solutions for thoracic aortic disease and future 'all endovascular' directions of TEVAR. Currently available endovascular solutions, such as hybrid operations, chimney stent grafting and transapical stent graft deployment, for ascending aortic pathologies are presented. Additionally, the impact of upcoming new technologies, such as endovascular treatment of Stanford Type A dissections of the ascending aorta, is elaborated. With improving device technology, diverse available stent grafts and imaging modalities, TEVAR has become safer and holds promising potential to expand treatment options, especially for the ascending aorta and the aortic arch.
authors.affiliation: Division of Cardio-Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, USA.
authors.forename: Aamir
authors.initials: A
authors.lastname: Shah
authors.affiliation: Division of Cardio-Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, USA.
authors.forename: René
authors.initials: R
authors.lastname: Bombien
authors.affiliation: Division of Cardio-Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, USA ali.khoynezhad@cshs.org.
authors.forename: Ali
authors.initials: A
authors.lastname: Khoynezhad
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D002545:Brain Ischemia / Q000453:epidemiology / Q000209:etiology; D004452:Echocardiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D011474:Prosthesis Design; D017755:Prosthesis Fitting / Q000379:methods; D020760:Spinal Cord Ischemia / Q000453:epidemiology / Q000209:etiology; D015607:Stents / Q000145:classification*; D016896:Treatment Outcome
keywords: Aorta; Aortic disease; Stent; Thoracic