Thoracic aortic aneurysm future or investigational therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Future or investigational therapies

Recent advances in thoracic aortic aneurysm treatment:

• The use of endovascular stent grafting, which is a less invasive alternative to open surgery, for the treatment of descending thoracic and thoracoabdominal aneurysms.
• Open-surgical versus endovascular stenting showed a decrease of operative mortality and a decrease in the occurrence of paraplegia, blood loss, length of ICU stay, and operative time with endovascular stenting.
• Even though late survival rates are equivalent between open surgical repair and endovascular repair, the early operative mortality rates of endovascular repair are lower
• The advances in aortic substitutes, cerebral protection, and perioperative care have led to improved results