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Thoracic endovascular aortic repair (TEVAR) is a procedure to treat an aneurysm in the upper part of your aorta. The aorta is your body’s largest artery. An aneurysm is a weak, bulging area in the aorta wall. If it bursts (ruptures), it can be deadly. TEVAR is a minimally invasive surgery. That means it's done with a small cut (incision).
Aug 7, 2023 · Endovascular repair of the thoracic aorta, also referred to as thoracic endovascular aortic repair (TEVAR), refers to a minimally invasive approach that involves placing a stent-graft in the thoracic or thoracoabdominal aorta for the treatment of a variety of thoracic aortic pathologies.
• Both EVAR and TEVAR are generally elevated risk procedures §Emergent, urgent, or elective? §Evaluate for CAD risk factors §Testing • Preoperative ECG (Class IIa, LOE B) • TTE (IIa vs. IIb vs. III depending on circumstance) • Pharmacologic stress testing: reasonable for patients with elevated risk and
The majority of the guideline focuses on the multifaceted management of performing endovascular repair of TAAs, including many of the adjunct maneuvers, like management of the left subclavian artery, spinal cord ischemia, and access, required to deliver a “successful” TEVAR.
Beyond 8 years, EVAR was found to have higher all-cause and aneurysm-related mortality, primarily because of more aneurysm rupture in the EVAR group. 22 Similarly, over the duration of the DREAM and OVER trials, there was no difference in overall survival, despite the early survival advantage of EVAR. 23, 24 In our propensity-matched analysis of...
May 29, 2019 · Elective endovascular repair of an abdominal aortic aneurysm results in lower perioperative mortality than traditional open repair, but after 4 years this survival advantage is not seen; in...
Aug 2, 2018 · Initially implemented for the treatment of thoracic aortic aneurysms, TEVAR has evolved to treat a variety of aortic pathologies and reduce overall morbidity and mortality rates compared with traditional open surgical repair.
