Biomechanical Changes After Thoracic Endovascular Aortic Repair in Type B Dissection

Author:

Nauta Foeke J. H.123,Conti Michele4,Kamman Arnoud V.123,van Bogerijen Guido H. W.5,Tolenaar Jip L.6,Auricchio Ferdinando4,Figueroa C. Alberto2,van Herwaarden Joost A.3,Moll Frans L.3,Trimarchi Santi1

Affiliation:

1. Thoracic Aortic Research Center, Policlinico San Donato IRCCS, University of Milan, Italy

2. Departments of Surgery and Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA

3. Department of Vascular Surgery, University Medical Center Utrecht, the Netherlands

4. Department of Civil Engineering and Architecture, University of Pavia, Italy

5. Department of General Surgery, University Medical Center Groningen, the Netherlands

6. Department of General Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,Surgery

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