NDLI: Thoracic endovascular aortic repair--indications and evidence.

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Thoracic endovascular aortic repair--indications and evidence.

Content Provider	Semantic Scholar
Author	Cao, Christopher Qian Bannon, Paul Shee, Rachel Yan, Tristan Dongbo
Copyright Year	2011
Abstract	PURPOSE Since its introduction more than a decade ago, thoracic endovascular aortic repair (TEVAR) has shown promising results for patients with various thoracic aortic diseases. The aim of the current review is to assess the current literature to evaluate the safety and efficacy of TEVAR. METHODS A thorough search of the existing literature on TEVAR was conducted on electronic databases, including Medline, Pubmed, EMBASE and Database of Abstracts of Review of Effectiveness. The most recent results were categorized according to the indications of performing TEVAR. RESULTS A number of case-series studies and reviews have shown reduced early morbidity and mortality rates in a range of thoracic aortic diseases for TEVAR in comparison to open surgical repair. However, there is a lack of robust clinical data to suggest any improvement in long-term overall survival. CONCLUSION Despite numerous encouraging results from a large number of publications in recent years, there remains a lack of level 1 evidence to support an improvement of long-term overall survival for patients who underwent TEVAR when compared with traditional treatment modalities. There appears to be an urgent need to conduct well-designed randomized-controlled trials in this rapidly expanding intervention.
Starting Page	1
Ending Page	6
Page Count	6
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.atcs.jp/pdf/2011_17_1/1.pdf
Alternate Webpage(s)	https://www.jstage.jst.go.jp/article/atcs/17/1/17_ra.10.01612/_pdf/-char/en
PubMed reference number	21587120v1
Volume Number	17
Issue Number	1
Journal	Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Language	English
Access Restriction	Open
Subject Keyword	Abstract Summary Aneurysm Aortic Diseases Aortic Valve Insufficiency Cardiopulmonary Cerebrovascular accident Chest Conflict (Psychology) Endoleak Hemorrhage Morbidity - disease rate Open Surgical Procedure Overall Survival Paraplegia Patients Ulcer Vascular System Injuries
Content Type	Text
Resource Type	Article

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