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Updated: May 8, 2026
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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Thoracic stent graft versus surgery for thoracic aneurysm
Iosief Abraha1, Carlo Romagnoli, Alessandro Montedori
1Epidemiology Department, Regional Health Authority of Umbria, Via Mario Angeloni, 61, Perugia, Italy, 06124.
The Cochrane Database of Systematic Reviews
|September 13, 2013
Summary
No randomized trials were found comparing thoracic endovascular aneurysm repair (TEVAR) with open surgery for thoracic aortic aneurysms. High-quality trials are needed to confirm TEVAR
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Medical Technology Assessment
Background:
- Thoracic aortic aneurysm (TAA) is a rare condition with unpredictable enlargement, potentially leading to rupture.
- Conventional open chest surgical repair has significant perioperative complications.
- Thoracic endovascular aneurysm repair (TEVAR) offers a less invasive alternative, but requires further evidence.
Purpose of the Study:
- To assess the efficacy of TEVAR compared to conventional open surgery for treating TAAs.
Main Methods:
- Searched Cochrane Peripheral Vascular Diseases Group Trials Register and CENTRAL up to March 2013.
- Included randomized controlled trials comparing TEVAR and open surgical repair for TAAs.
- Two authors independently screened trials; no statistical analyses were performed due to lack of identified RCTs.
Main Results:
- No published or unpublished randomized controlled trials were identified comparing TEVAR with conventional open surgical repair for thoracic aortic aneurysms.
Conclusions:
- While TEVAR is technically feasible and non-randomized studies suggest benefits, high-quality randomized controlled trials are essential.
- Further research must evaluate clinically relevant outcomes including conversion, exclusion, endoleaks, and long-term mortality.
