Why the study?
Does the Gore TAG Thoracic Endoprosthesis improve outcomes compared to open surgical repair in patients with thoracic aortic lesions?
Does the Gore TAG Thoracic Endoprosthesis improve outcomes compared to open surgical repair in patients with thoracic aortic lesions?
The Gore TAG Thoracic Endoprosthesis offers a minimally invasive alternative to open surgery for thoracic aortic lesions with reduced recovery times and blood loss, though device infolding remains a rare risk.
May support TEVAR preference in thoracic aortic lesions; Level 5 data leaves open need for RCTs on durability and infolding.
Open surgical repair of thoracic aortic lesions carries a significant risk of complications, including death. Minimally invasive approaches, however, may improve outcomes. Clinical trials of the Gore TAG Thoracic Endoprosthesis device indicate that subjects receiving the graft are less likely to experience major adverse events, less intraprocedural blood loss, shorter intensive care unit and hospital stays, and reduced recovery times than surgical patients. The US FDA approved the device in March 2005. Since then, the device has been used widely, although a 0.30% rate of complications related to infolding or partial compression of the device prompted a 'Dear Doctor' letter in January 2006. This article profiles the TAG device and evaluates endografting technology in general.
No takes yet. Share an insight, caveat, or question.
Edward B. Diethrich (2006) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: