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Endovascular Surgical Therapy of Thoracic and Thoracoabdominal Disease of the Aorta

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Abstract

Diseases of the thoracic and thoracoabdominal aorta are a leading cause of death. Thoracic endovascular aortic repair (TEVAR) for the treatment of acute aortic syndromes including thoracic aortic aneurysms, dissections, intramural hematomas, and traumatic aortic injury is evaluated in detail. The indications for treatment and complications associated with the procedure are reviewed. The endovascular technique and tools necessary to perform the procedure including the specific guidewires, catheters, and sheaths required, as well as appropriate imaging modalities are described. The use of hybrid surgical and endovascular techniques in addition to fenestrated and branched stent grafts to treat complex pathology in the aortic arch and thoracoabdominal aorta is also discussed. Finally, future trends in TEVAR including treatment of ascending aorta pathologies are introduced.

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Authors and Affiliations

  1. Division of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Ali Khoynezhad MD, PhD, FACS, FACC & René H. Bombien MD, PhD

  2. Division of Cardiothoracic and Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Aamir Shah BA, MD

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  1. Ali Khoynezhad MD, PhD, FACS, FACC
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  2. René H. Bombien MD, PhD
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  3. Aamir Shah BA, MD
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Correspondence to Ali Khoynezhad MD, PhD, FACS, FACC .

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Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Gerhard Ziemer

  2. HTTG - Surgery, Medizinische Hochschule Hannover, Hannover, Germany

    Axel Haverich

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Khoynezhad, A., Bombien, R.H., Shah, A. (2017). Endovascular Surgical Therapy of Thoracic and Thoracoabdominal Disease of the Aorta. In: Ziemer, G., Haverich, A. (eds) Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52672-9_28

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