Key result
TEVAR improves early survival in ruptured descending thoracic aneurysms but risks long-term device-related complications.
Why the study?
Does TEVAR improve survival and outcomes compared to open repair in patients with ruptured descending thoracic aortic aneurysms?
Does TEVAR improve survival and outcomes compared to open repair in patients with ruptured descending thoracic aortic aneurysms?
While TEVAR offers early survival benefits for ruptured descending thoracic aortic aneurysms, device-related complications may impact long-term outcomes compared to open repair.
TEVAR may support early survival in ruptured descending thoracic aortic aneurysms despite device complications; leaves open randomized comparison to open repair.
Background: Rupture in Descending Thoracic Aortic Aneurysms (rDTAA) is a fatal complication. Open repair has long been the traditional standard of treatment; however, thoracic endovascular repair (TEVAR) has become increasingly popular to treat this complication. Even with continued surgical advances, open repair (OR) remains associated with high morbidity and mortality. The introduction of TEVAR and its common use in the treatment of rDTAA has raised the question of the possible superiority of one over the other. Purpose: This review discusses specific considerations in rDTAA repair including initial management, complications, and results of OR and TEVAR. Conclusion: Despite lacking evidence, TEVAR is often first choice treatment for rDTAA and leads to early survival; however, it has specific device related complications that affect long term outcomes.
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CL et al. (2017) conducted a review in Ruptured Descending Thoracic Aortic Aneurysms (rDTAA). Thoracic endovascular repair (TEVAR) vs. Open repair (OR) was evaluated. Thoracic endovascular repair (TEVAR) for ruptured descending thoracic aortic aneurysms leads to early survival but is associated with specific device-related complications affecting long-term outcomes.
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