title: Biomechanical Changes After Thoracic Endovascular Aortic Repair in Type B Dissection: A Systematic Review.
abstract: Thoracic endovascular aortic repair (TEVAR) has evolved into an established treatment option for type B aortic dissection (TBAD) since it was first introduced 2 decades ago. Morbidity and mortality have decreased due to the minimally invasive character of TEVAR, with adequate stabilization of the dissection, restoration of true lumen perfusion, and subsequent positive aortic remodeling. However, several studies have reported severe setbacks of this technique. Indeed, little is known about the biomechanical behavior of implanted thoracic stent-grafts and the impact on the vascular system. This study sought to systematically review the performance and behavior of implanted thoracic stent-grafts and related biomechanical aortic changes in TBAD patients in order to update current knowledge and future perspectives.
authors.affiliation: Thoracic Aortic Research Center, Policlinico San Donato IRCCS, University of Milan, Italy Departments of Surgery and Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA Department of Vascular Surgery, University Medical Center Utrecht, the Netherlands.
authors.forename: Foeke J H
authors.initials: FJ
authors.lastname: Nauta
authors.affiliation: Department of Civil Engineering and Architecture, University of Pavia, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Conti
authors.affiliation: Thoracic Aortic Research Center, Policlinico San Donato IRCCS, University of Milan, Italy Departments of Surgery and Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA Department of Vascular Surgery, University Medical Center Utrecht, the Netherlands.
authors.forename: Arnoud V
authors.initials: AV
authors.lastname: Kamman
authors.affiliation: Department of General Surgery, University Medical Center Groningen, the Netherlands.
authors.forename: Guido H W
authors.initials: GH
authors.lastname: van Bogerijen
authors.affiliation: Department of General Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Jip L
authors.initials: JL
authors.lastname: Tolenaar
authors.affiliation: Department of Civil Engineering and Architecture, University of Pavia, Italy.
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Auricchio
authors.affiliation: Departments of Surgery and Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.
authors.forename: C Alberto
authors.initials: CA
authors.lastname: Figueroa
authors.affiliation: Department of Vascular Surgery, University Medical Center Utrecht, the Netherlands.
authors.forename: Joost A
authors.initials: JA
authors.lastname: van Herwaarden
authors.affiliation: Department of Vascular Surgery, University Medical Center Utrecht, the Netherlands.
authors.forename: Frans L
authors.initials: FL
authors.lastname: Moll
authors.affiliation: Thoracic Aortic Research Center, Policlinico San Donato IRCCS, University of Milan, Italy santi.trimarchi@unimi.it.
authors.forename: Santi
authors.initials: S
authors.lastname: Trimarchi
mesh_terms: D000784:Aortic Dissection / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000503:physiopathology / Q000601:surgery*; D001696:Biomechanical Phenomena; D001808:Blood Vessels / Q000637:transplantation; D057510:Endovascular Procedures / Q000379:methods; D006801:Humans; D015607:Stents; D017211:Treatment Failure
keywords: complications; stent-graft performance; systematic review; thoracic aorta; thoracic endovascular aortic repair; type B dissection