Thoracic endovascular aortic repair has become an attractive alternative treatment option for thoracic aortic disease. New devices and advanced image-guided procedures are continuously expanding the indications. This article focuses on technical aspects of transapical stent graft deployment for ascending aortic pathologies. With improving device technology, diverse available stent grafts, and imaging modalities, thoracic endovascular aortic repair has become safer and holds promising potential to expand treatment options, especially for high-risk patients requiring ascending aorta treatment.
KhoynezhadA., BelloR., SmegoD.R., NwakanmaL., PlestisK.A.Improved outcome after repair of descending and thoracoabdominal aortic aneurysms using modern adjuncts. Interact Cardiovasc Thorac Surg.2005; 4: 574–576.
2.
WhiteR.A., DonayreC.E., WalotI., KopchokG.E.Intraprocedural imaging: thoracic aortography techniques, intravascular ultrasound, and special equipment. J Vasc Surg.2006; 43(suppl A): 53A–61A.
3.
RoncheyS., SerraoE., AlbertiV.Endovascular stenting of the ascending aorta for type A aortic dissections in patients at high risk for open surgery. Eur J Vasc Endovasc Surg.2013; 45: 475–480.
4.
van PrehnJ., VinckenK.L., MuhsB.E.Toward endografting of the ascending aorta: insight into dynamics using dynamic cine-CTA. J Endovasc Ther.2007; 14: 551–560.
5.
LeeW.A., MatsumuraJ.S., MitchellR.S.Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery. J Vasc Surg.2011; 53: 187–192.
6.
ButhJ., HarrisP.L., HoboR.Neurologic complications associated with endovascular repair of thoracic aortic pathology: incidence and risk factors. a study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry. J Vasc Surg.2007; 46: 1103–1110.
7.
KhoynezhadA., DonayreC.E., BuiH., KopchokG.E., WalotI., WhiteR.A.Risk factors of neurologic deficit after thoracic aortic endografting. Ann Thorac Surg.2007; 83: S882–S889.
8.
EhlertB.A., DurhamC.A., ParkerF.M., BogeyW.M., PowellC.S., StonerM.C.Impact of operative indication and surgical complexity on outcomes after thoracic endovascular aortic repair at National Surgical Quality Improvement Program Centers. J Vasc Surg.2011; 54: 1629–1636.
9.
MelissanoG., TshombaY., BertoglioL., RinaldiE., ChiesaR.Analysis of stroke after TEVAR involving the aortic arch. Eur J Vasc Endovasc Surg.2012; 43: 269–275.
10.
CanaudL., HirecheK., BerthetJ.P., BranchereauP., Marty-AnéC., AlricP.Endovascular repair of aortic arch lesions in high-risk patients or after previous aortic surgery: midterm results. J Thorac Cardiovasc Surg.2010; 140: 52–58.
ChengD., MartinJ., ShennibH.Endovascular aortic repair versus open surgical repair for descending thoracic aortic disease a systematic review and meta-analysis of comparative studies. J Am Coll Cardiol.2010; 55: 986–1001.
