Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

Aortic Regurgitation III: Medical Management

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...

Aortic Regurgitation IV: Nursing Management

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...

The Arch of Aorta

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Vienna, vascular surgery and a 100-year family tradition : In memoriam: Dr.med.univ. Pericles Donas.

Wiener klinische Wochenschrift·2025

Same author

A brief history of the endovascular revolution and how it transformed vascular surgery and my life.

The Journal of cardiovascular surgery·2022

Same author

Results of chimney endovascular aneurysm repair as used in the PERICLES Registry to treat patients with suprarenal aortic pathologies.

Journal of vascular surgery·2019

Same author

Patient-Specific Rehearsal Feasibility Before Endovascular Repair of Ruptured Abdominal Aortic Aneurysm.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists·2019

Same author

CTA Assessment of Midterm Morphological Changes to Chimney Grafts Used in the Treatment of Juxtarenal Aortic Aneurysms.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists·2019

Same author

Impact of aortic stent-graft oversizing on outcomes of the chimney endovascular technique based on a new analysis of the PERICLES Registry.

Vascular·2018

Search research articles

Related Experiment Video

Updated: Jun 24, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Technical solutions for common problems in TEVAR: managing access and aortic branches.

Frank J Criado¹, Christine McKendrick, Francis R Criado

¹Vascular Surgery and Endovascular Intervention, Union Memorial Hospital-MedStar Health, Baltimore, Maryland 21218, USA. frank.criado@medstar.net

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists

|March 26, 2009

Summary

This summary is machine-generated.

Thoracic endovascular aortic repair (TEVAR) offers a promising treatment for aortic diseases. This review focuses on improving endovascular access and aortic branch management to enhance TEVAR safety and efficacy.

More Related Videos

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Related Experiment Videos

Last Updated: Jun 24, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Area of Science:

Vascular Surgery
Interventional Cardiology
Medical Device Technology

Background:

Thoracic endovascular aortic repair (TEVAR) is increasingly utilized for thoracic aortic pathologies.
Despite advancements, challenges persist in endovascular access and aortic branch management.
Arterial injury remains a significant complication during TEVAR procedures.

Purpose of the Study:

To review critical issues in endovascular access for TEVAR.
To discuss strategies for effective aortic branch management in TEVAR.
To highlight techniques that expand the applicability of endograft technology.

Main Methods:

Review of current literature on TEVAR access and branch management techniques.
Analysis of challenges and solutions for arterial injury prevention.
Evaluation of debranching and vessel relocation techniques.

Main Results:

Endovascular access remains a challenging yet crucial step in TEVAR.
Aortic branch management is paramount due to pathology location.
Debranching and vessel relocation techniques expand landing zones and patient eligibility.

Conclusions:

Addressing endovascular access and branch management is vital for TEVAR success.
Improved techniques can mitigate complications like arterial injury.
TEVAR's applicability is significantly broadened by advanced branch management strategies.