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Current Atherosclerosis Reports
Published in: Current Atherosclerosis Reports 10/2016

01-10-2016 | Cardiovascular Disease and Stroke (S. Prabhakaran, Section Editor)

Open Versus Endovascular or Hybrid Thoracic Aortic Aneurysm Repair

Authors: Ryan Clare, Julianne Jorgensen, Somjot S. Brar

Published in: Current Atherosclerosis Reports | Issue 10/2016

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Abstract

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.
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Metadata
Title
Open Versus Endovascular or Hybrid Thoracic Aortic Aneurysm Repair
Authors
Ryan Clare
Julianne Jorgensen
Somjot S. Brar
Publication date
01-10-2016
Publisher
Springer US
Published in
Current Atherosclerosis Reports / Issue 10/2016
Print ISSN: 1523-3804
Electronic ISSN: 1534-6242
DOI
https://doi.org/10.1007/s11883-016-0612-3
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