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Abdominal and Thoracic Aortic Aneurysms

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Abstract

The management of aortic aneurysms has evolved over the last 15 years from open surgical repair as the standard therapy to endovascular stent-graft placement as the treatment of choice in anatomically suitable patients. This chapter introduces the basic pathophysiology, clinical symptoms, and indications for repair of both abdominal (AAA) and thoracic aortic aneurysms (TAA) and describes the conventional approaches of conservative medical management and open surgical repair for these lesions. The concept and rationale supporting endovascular AAA repair (EVAR) and TAA repair (TEVAR) are presented. The importance of pre-procedure planning is emphasized, and a detailed “How To” section explains the technical steps of the procedures. The most common risks and complications of EVAR and TEVAR are reviewed, and tips to avoid these adverse events are provided.

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Authors and Affiliations

  1. Department of Vascular Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Andy Lee

  2. Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, CA, USA

    Michael D. Dake

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  1. Andy Lee
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  2. Michael D. Dake
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Correspondence to Michael D. Dake .

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Editors and Affiliations

  1. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Nicole A. Keefe

  2. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Ziv J Haskal

  3. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Auh Whan Park

  4. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    John F. Angle

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Lee, A., Dake, M.D. (2018). Abdominal and Thoracic Aortic Aneurysms. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_17

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  • DOI: https://doi.org/10.1007/978-3-319-71300-7_17

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