Thoracic Endovascular Aneurysm Repair (TEVAR)
Recommendations
Diagnosis
Treatment
- Examples of these circumstances include:
- Presence of a patent left internal mammary artery (LIMA) to coronary artery bypass graft
- Termination of the left vertebral artery into the posterior inferior cerebellar artery
- Absent, atretic, or occluded right vertebral artery
- Patent left arm arteriovenous shunt for dialysis
- Prior infrarenal aortic operation or EVAR with previously ligated or covered lumbar and middle sacral arteries
- Planned extensive coverage (≥15 cm) of the DTA
- Hypogastric artery occlusion or significant occlusive disease
- Presence of aneurysm disease in the young patient, for whom future therapy involving the distal thoracic aorta may be necessary
Recommendation Grading
Overview
Title
Thoracic Endovascular Aneurysm Repair (TEVAR)
Authoring Organization
Society for Vascular Surgery
Publication Month/Year
July 3, 2020
Last Updated Month/Year
August 30, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory, Emergency care, Hospital, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Assessment and screening, Treatment, Management
Diseases/Conditions (MeSH)
D001014 - Aortic Aneurysm, D017545 - Aortic Aneurysm, Thoracic, D000783 - Aneurysm
Keywords
aneurysm, aortic aneurysm, TEVAR, thoracic aortic aneurysm, TAA, descending thoracic aorta, DTA
Source Citation
Upchurch GR Jr, Escobar GA, Azizzadeh A, et al. Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms. J Vasc Surg. 2021;73(1S):55S-83S. doi:10.1016/j.jvs.2020.05.076