A systematic review of primary endovascular repair of the ascending aorta

Muetterties, Corbin; Menon, Rohan; Wheatley, Grayson H.

doi:10.1016/j.jvs.2017.06.099

Cited by 103 publications

(100 citation statements)

References 57 publications

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“…On the other hand, new invasive techniques in the ascending aorta, such as endovascular repair, have been developed, with promising results. 19 Although their main indication is currently reserved for patients with high surgical risk, as less invasive techniques they may potentially provide a future solution in some of these cases.…”

Section: E D I T O R I a Lmentioning

confidence: 99%

Conservative vs surgical treatment in type A intramural hematoma. What is new?

2020

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Section: E D I T O R I a Lmentioning

confidence: 99%

Conservative vs surgical treatment in type A intramural hematoma. What is new?

2020

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“…In most cases of ascending aortic stenting, the stent graft must be customised because of individual anatomical variations. A systematic review by Muetterties et al 20 revealed a significant variation in the stent graft choices among different endovascular approaches. Thirteen different aortic stent grafts were used in 118 patients, with the majority being thoracic aortic stent grafts (71.2%).…”

Section: Risk Stratificationmentioning

confidence: 99%

The future of stenting in patients with type A aortic dissection: a systematic review

2019

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Acute type A aortic dissection (ATAAD) carries high morbidity and mortality rates and is a clinical emergency. The reported mortality rate is 50% to 65% within the first 48 hours without surgical intervention. Open surgery therefore remains the gold standard management for ATAAD. However, in patients who are deemed unfit for surgery and where possible, endovascular repair offers a useful alternative to medical treatment alone or high-risk open surgical repair. Several case reports, case series, and retrospective studies have reported good outcomes following endovascular treatment. The endovascular option also has comparable early and late outcomes, favourable aortic remodelling, and satisfactory overall survival despite having a higherrisk patient cohort. However, stenting in patients with ATAAD undoubtedly still has several limitations and technical challenges.

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“…A recent systematic review from 1995 to 2017 reported that TEVAR for the ascending aorta was performed in 118 patients. 44 The aortic pathologies treated involved type A dissection (50%), pseudoaneurysm (30%), and others (20%), including penetrating ulcer, and true aneurysm. The overall survival rate was 15.2%, and ARD rate was 5%.…”

Section: Tevar For Ascending Arch Aneurysm and Type A Dissectionmentioning

confidence: 99%

Endovascular Treatment of Various Aortic Pathologies: Review of the Latest Data and Technologies

2018

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The technologies and innovations applicable to endovascular treatment for complex aortic pathologies have progressed rapidly over the last two decades. Although the initial outcomes of an endovascular aortic repair have been excellent, as long-term data became available, complications including endoleaks, endograft migration, and endograft infection have become apparent and are of concern. Previously, the indication for endovascular therapy was restricted to descending thoracic aortic aneurysms and abdominal aortic aneurysms. However, its indication has expanded along with the improvement of techniques and devices, and currently, it has become possible to treat pararenal aortic aneurysms and Crawford type 4 thoracoabdominal aortic aneurysm (TAAA) using the off-the-shelf devices. Additionally, custom-made devices allow for the treatment of arch or more extensive TAAAs. Endovascular treatment is applied not only to aneurysms but also to acute/chronic dissections. However, long-term outcomes are still unclear. This article provides an overview of available devices and the results of endovascular treatment for various aortic pathologies.

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A systematic review of primary endovascular repair of the ascending aorta

Cited by 103 publications

References 57 publications

Conservative vs surgical treatment in type A intramural hematoma. What is new?

Conservative vs surgical treatment in type A intramural hematoma. What is new?

The future of stenting in patients with type A aortic dissection: a systematic review

Endovascular Treatment of Various Aortic Pathologies: Review of the Latest Data and Technologies

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