Open Versus Endovascular or Hybrid Thoracic Aortic Aneurysm Repair.
Thoracic aortic aneurysms are associated with significant morbidity and mortality. There are multiple underlying etiologies, including genetic abnormalities, that have important implications in their natural history. The variable histologic, anatomic, and clinical presentations necessitate careful consideration of available treatment options. Surgical repair of these aneurysms has been the mainstay of treatment; however, these approaches can carry a relatively high risk of morbidity and mortality. Endovascular approaches have now become first-line therapy for descending thoracic aneurysms, and with advancements in graft technology, endovascular approaches are being increasingly employed for hybrid repairs of the aortic arch and even the ascending aorta. However, to date, clinical outcomes from randomized trials and long-term follow-up are limited. As technology continues to advance, there is the potential for further integration of surgical and endovascular treatments so that patients have the best opportunity for a favorable outcome.
Kaiser Permanente, Los Angeles Medical Center, 4867 Sunset Blvd., 3rd Floor, Cardiac Cath Lab, Rm. 3755, Los Angeles, CA, 90027, USA.
Ryan
R
Clare
Kaiser Permanente, Los Angeles Medical Center, 4867 Sunset Blvd., 3rd Floor, Cardiac Cath Lab, Rm. 3755, Los Angeles, CA, 90027, USA.
Julianne
J
Jorgensen
Kaiser Permanente, Los Angeles Medical Center, 4867 Sunset Blvd., 3rd Floor, Cardiac Cath Lab, Rm. 3755, Los Angeles, CA, 90027, USA. sbrar@cvri.org.|Kaiser Permanente Research, Department of Research and Evaluations, Pasadena, CA, USA. sbrar@cvri.org.|UCLA School of Medicine, Los Angeles, CA, USA. sbrar@cvri.org.
Somjot S
SS
Brar
D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D015607:Stents
Elephant trunk repair; Endovascular repair; Hybrid repair; Marfan syndrome; Stent graft; Thoracic aortic aneurysm
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