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Thoracic Endovascular Aortic Repair
1Department of Cardiovascular Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Annals of Vascular Diseases
|May 25, 2026
Summary
Thoracic endovascular aortic repair (TEAR) is a key treatment for thoracic aortic diseases, including aneurysms and dissections. While effective, long-term monitoring is crucial due to increasing re-intervention rates over time.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Medical Technology
Background:
- Thoracic endovascular aortic repair (TEAR) has transformed thoracic aortic disease management.
- Indications have expanded beyond aneurysms to include dissections and injuries.
- Thoracic aortic stent grafts have a 15-year history in Japan with increasing utilization.
Purpose of the Study:
- To review the current status and outcomes of TEAR for various thoracic aortic diseases.
- To highlight the expanding scope and long-term considerations of TEAR.
- To emphasize the importance of careful follow-up after TEAR.
Main Methods:
- Review of clinical data and guidelines related to TEAR.
- Analysis of outcomes for different thoracic aortic pathologies treated with TEAR.
- Discussion of long-term morphologic changes and complications.
Main Results:
- TEAR is indicated for aneurysms, dissections, and injuries.
- Stent graft use is increasing, with good reported results.
- Re-intervention rates increase over time across all disease groups.
Conclusions:
- TEAR is a revolutionary treatment with expanding indications.
- Long-term follow-up is essential due to potential morphologic changes and new complications.
- Careful monitoring is necessary to manage increasing re-intervention rates over time.
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