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Aneurysm III: Interprofessional Care01:26

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...

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Aortic Endograft Sizing.

Andrew T Ray1, Luke R Wilkins1, Daniel P Sheeran1

  • 1Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia.

Seminars in Interventional Radiology
|April 7, 2025
PubMed
Summary
This summary is machine-generated.

Accurate endograft sizing is crucial for the success of thoracic endovascular aortic repair (TEVAR) and endovascular abdominal aortic aneurysm repair (EVAR). This review emphasizes preprocedural imaging for optimal patient selection and procedural outcomes.

Keywords:
EVARTEVARendograftinterventional radiologysizing

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Imaging

Background:

  • Thoracic endovascular aortic repair (TEVAR) and endovascular abdominal aortic aneurysm repair (EVAR) are established treatments for aortic aneurysms and dissections.
  • Successful endovascular aortic repair relies heavily on precise endograft selection.

Purpose of the Study:

  • To review endograft sizing techniques for TEVAR and EVAR.
  • To provide practical guidance for interventionalists to optimize patient selection and enhance procedural success.

Main Methods:

  • Review of current literature and clinical practices regarding endograft sizing.
  • Emphasis on preprocedural computed tomography angiography (CTA) for evaluating seal zones.

Main Results:

  • Accurate sizing of endografts is paramount for effective sealing and long-term outcomes in TEVAR and EVAR.
  • Computed tomography angiography (CTA) is essential for assessing proximal and distal seal zones, guiding appropriate graft selection.

Conclusions:

  • Optimizing endograft sizing through meticulous preprocedural imaging is critical for improving the success rates of TEVAR and EVAR.
  • This review offers practical advice to interventionalists for better patient selection and procedural planning.