Biomechanical changes after thoracic endovascular aortic repair in type B dissection: A systematic review

Foeke J H Nauta, Michele Conti, Arnoud V. Kamman, Guido H W Van Bogerijen, Jip L. Tolenaar, Ferdinando Auricchio, C. Alberto Figueroa, Joost A. Van Herwaarden, Frans L. Moll, Santi Trimarchi

Research output: Contribution to journalArticlepeer-review

Abstract

Thoracic endovascular aortic repair (TEVAR) has evolved into an established treatment option for type B aortic dissection (TBAD) since it was first introduced 2 decades ago. Morbidity and mortality have decreased due to the minimally invasive character of TEVAR, with adequate stabilization of the dissection, restoration of true lumen perfusion, and subsequent positive aortic remodeling. However, several studies have reported severe setbacks of this technique. Indeed, little is known about the biomechanical behavior of implanted thoracic stent-grafts and the impact on the vascular system. This study sought to systematically review the performance and behavior of implanted thoracic stent-grafts and related biomechanical aortic changes in TBAD patients in order to update current knowledge and future perspectives.

Original languageEnglish
Pages (from-to)918-933
Number of pages16
JournalJournal of Endovascular Therapy
Volume22
Issue number6
DOIs
Publication statusPublished - Dec 1 2015

Keywords

  • Complications
  • Stent-graft performance
  • Systematic review
  • Thoracic aorta
  • Thoracic endovascular aortic repair
  • Type B dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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