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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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Thoracic endovascular aortic repair: the basics
Nick Cheshire1, Colin Bicknell
1Department of Surgery and Cancer, Imperial College School of Medicine, London, UK. nick.cheshire@imperial.ac.uk
The Journal of Thoracic and Cardiovascular Surgery
|February 16, 2013
Summary
Cardiovascular surgeons are essential for successful thoracic endovascular aortic repair (TEVAR). Their expertise ensures proper planning, execution, and complication management in these increasingly common procedures.
Area of Science:
- Vascular Surgery
- Cardiovascular Interventions
- Thoracic Aortic Pathology
Background:
- Endografting for thoracic aortic pathology is rising, with endovascular aortic repairs surpassing open surgeries in some regions.
- A gap exists in translating open surgical expertise to endovascular teams, often led by specialists with limited thoracic pathology knowledge.
Purpose of the Study:
- To emphasize the critical role of cardiovascular surgeons in thoracic endovascular aortic repair (TEVAR) programs.
- To highlight the essential contributions of experienced surgeons throughout the TEVAR process.
Main Methods:
- Review of experience with over 400 thoracic interventional cases.
- Analysis of surgeon involvement in preoperative planning, access vessel assessment, landing zone creation, stent deployment, and spinal cord protection.
Main Results:
- Cardiovascular surgeons are crucial for the success of TEVAR programs.
- Surgeons' involvement is vital from preoperative planning to managing complications.
- Expertise in both open and endovascular techniques is necessary for managing TEVAR complications.
Conclusions:
- Thoracic endovascular aortic repair programs require the deep involvement of cardiovascular surgeons.
- Surgeons' comprehensive understanding of thoracic pathology and surgical techniques is key to optimal patient outcomes.
- Effective management of TEVAR necessitates a surgeon skilled in both open and endovascular approaches.
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