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Thoracic Aortic Frontier: Review of Current Applications and Directions of Thoracic Endovascular Aortic Repair (TEVAR)
Authors:Jehangir J. Appoo  Leonard W. Tse  Zlatko I. Pozeg  Jason K. Wong  Stuart J. Hutchison  Alex J. Gregory  Eric J. Herget
Affiliation:1. Division of Cardiac Surgery, Libin Cardiovascular Institute, Department of Cardiac Sciences and Surgery, University of Calgary, Calgary, Alberta, Canada;2. Division of Vascular Surgery, Toronto General Hospital, PMCC, UHN, University of Toronto, Toronto, Ontario, Canada;3. Division of Cardiac Surgery, St Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada;4. Division of Interventional Radiology, Department of Radiology, University of Calgary, Calgary, Alberta, Canada;5. Division of Cardiology, Libin Cardiovascular Institute, Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada;6. Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA;g Department of Anaesthesiology, University of Calgary, Calgary, Alberta, Canada;h Division of Interventional Radiology, Department of Radiology, University of Calgary, Calgary, Alberta, Canada
Abstract:Thoracic endovascular aortic repair, a minimally invasive technique is replacing the maximally invasive gold standard of thoracotomy and replacement of the descending thoracic aorta. With experience, indications have expanded to encroach on the arch and even ascending aorta. This review highlights the current state of technology, discusses controversies, and takes the perspective of a forward-thinking review to describe novel, innovative techniques that might make the entire thoracic aorta amenable to minimally invasive repair.
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