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CIRSE Standards of Practice on the Endovascular Management of Descending Thoracic Aortic Disease

Yuri Gupta1, Samuel Vaughan2, Fabrizio Fanelli3

  • 1University Hospitals Sussex, Brighton, UK. yuri.gupta1@nhs.net.

Cardiovascular and Interventional Radiology
|August 3, 2026
PubMed

Insights

Endovascular repair is the standard of care for descending thoracic aortic disease, offering effective, minimally invasive treatment. This document outlines best practices for its safe and successful application.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • Endovascular management has become the standard of care for descending thoracic aortic disease over the past 20 years, largely replacing surgical repair.
  • This minimally invasive approach is effective for treating aneurysms, acute aortic syndrome, and traumatic injuries of the descending thoracic aorta.

Purpose of the Study:

  • To provide evidence-based recommendations for the endovascular management of descending thoracic aortic disease.
  • To establish best practices for diagnostic imaging, surveillance, intervention indications, treatment techniques, outcomes, and follow-up.

Main Methods:

  • A literature review was conducted by a writing group established by the CIRSE Standards of Practice Committee.
  • Recommendations were formulated through expert consensus based on the reviewed evidence.

Main Results:

  • Endovascular treatment is an established and successful method for managing thoracic aortic disease.
  • The document provides comprehensive, up-to-date guidance for the safe performance of these procedures.

Conclusions:

  • Endovascular management is the preferred treatment for descending thoracic aortic disease.
  • This Standards of Practice document serves as a crucial guide for clinicians, ensuring optimal patient care and outcomes.

Keywords:
Aorta thoracicAortic aneurysm thoracicAortic dissectionStandards of PracticeTEVAR

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