Related Experiment Video
Updated: May 5, 2026
06:59
Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
746
Secondary interventions after endovascular thoracic aortic repair
Spiridon Botsios1, Johannes Frömke, Gerhard Walterbusch
1Department of Thoracic- and Cardiovascular Surgery, St. Johannes Hospital Dortmund, Dortmund, Germany; Faculty of Health, University Witten/Herdecke, Witten, Germany.
Journal of Cardiac Surgery
|November 28, 2013
Summary
Secondary interventions are often needed after thoracic endovascular aortic repair (TEVAR) due to complications like endoleaks. These procedures carry risks but are manageable with careful, systematic follow-up for optimal outcomes.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Endovascular stent grafting, or TEVAR, is standard for certain descending thoracic aorta conditions.
- Durability concerns exist due to technique-specific complications.
- Secondary interventions are crucial for managing these complications.
Purpose of the Study:
- Evaluate the incidence of secondary interventions after TEVAR.
- Analyze techniques used for secondary interventions.
- Assess outcomes of secondary interventions for TEVAR complications.
Main Methods:
- Retrospective review of 152 patients undergoing TEVAR (March 2001-November 2011).
- Identified 19 patients (12.5%) requiring secondary interventions.
- Analyzed indications, timing, and types of secondary interventions.
Main Results:
- Endoleaks were the most common indication for reintervention.
- 11 patients had endovascular, 6 surgical, and 2 hybrid secondary interventions.
- 30-day mortality was 10.5%; 4 patients required further intervention during follow-up.
Conclusions:
- Secondary interventions are frequently necessary after TEVAR.
- These procedures can be performed with acceptable risks.
- Systematic follow-up is essential for early detection and management of late complications.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
478
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...
478
01:22Aneurysm IV: Nursing Management
625
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...
625
01:27Peripheral Artery Disease III: Interprofessional Care
659
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
659
01:23Peripheral Artery Disease V: Postoperative Nursing Management
637
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
637
01:17Aortic Regurgitation IV: Nursing Management
457
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...
457
01:27Coronary Artery Disease V: Interprofessional Care
450
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
450