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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

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Thoracic Endovascular Aortic Repair.

Kiyomitsu Yasuhara¹

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.

Keywords:

aortic dissection blunt thoracic aortic injury thoracic aortic aneurysm thoracic endovascular aortic repair (TEVAR)

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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.