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Thoracic and Thoracoabdominal Aortic Aneurysms

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Abstract

Just as aortic stent grafts revolutionized infrarenal aneurysm repair, grafts designed for thoracic endovascular aneurysm repair (TEVAR) have substantially changed the treatment algorithm for the multiple disease processes that affect the thoracic aorta since the first thoracic stent graft was approved in 2005 (Cho et al., Semin Vasc Surg 19(1):18–24, 2006). This chapter will review the epidemiology, pathophysiology, clinical presentation, and indications for repair of thoracic (TAA) and thoracoabdominal aortic aneurysms (TAAA). The basic principles of TAA case planning are reviewed and commercially available and investigational stent grafts designed for TAAA repair are introduced. Complications arising from the endovascular treatment of TAA and TAAA can be devastating, and risks must be minimized. The treatment of these complex aneurysms requires a mastery of endovascular and open surgical skills and immediate access to specialized anesthesia, cardiac surgery, and intensive care resources.

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Authors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA

    Colby Ruiz & Mark A. Farber

  2. Department of Vascular Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Andy Lee

  3. Department of Medical Imaging, University of Arizona Heath Sciences, Tucson, AZ, USA

    Michael D. Dake

Authors
  1. Colby Ruiz
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  2. Andy Lee
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  3. Michael D. Dake
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  4. Mark A. Farber
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Corresponding author

Correspondence to Mark A. Farber .

Editor information

Editors and Affiliations

  1. Department of Radiology, University of North Carolina at Chapel H, Chapel Hill, NC, USA

    Nicole A. Keefe

  2. Department of Radiology and Medical Imag, University of Virginia, Charlottesville, VA, USA

    Ziv J.J Haskal

  3. Department of Radiology, The University of Texas Southwestern Med, Dallas, TX, USA

    Auh Whan Park

  4. Department of Radiology and Medical Imag, University of Virginia, Charlottesville, VA, USA

    John F. Angle

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Ruiz, C., Lee, A., Dake, M.D., Farber, M.A. (2024). Thoracic and Thoracoabdominal Aortic Aneurysms. In: Keefe, N.A., Haskal, Z.J., Park, A.W., Angle, J.F. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-031-52546-9_19

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  • DOI: https://doi.org/10.1007/978-3-031-52546-9_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-52545-2

  • Online ISBN: 978-3-031-52546-9

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