Thoracic Aortic Emergencies: Presenting Pathologies and Treatment Strategies

Abstract

Thoracic aortic emergencies reflect a wide range of etiologies, pathologic processes, and clinical presentations. Accurate identification with an appropriate treatment algorithm is best accomplished in a multidisciplinary setting with interventional radiologists, vascular surgeons, and cardiothoracic surgeons. While knowledge of thoracic stent graft equipment and technique is essential in the treatment of thoracic aortic emergencies, many clinical settings may employ alternative treatment techniques. This article will review the most common thoracic aortic emergencies and treatment strategies.

Emergency Endovascular Repair of Thoracic Aorta Via a Percutaneous Popliteal Approach Following an Iatrogenic Injury

“…With improving endovascular devices, imaging techniques, and low morbidity and mortality, TEVAR has gained popularity as a first-line treatment option for many thoracic aortic pathologies including iatrogenic injuries. 1,2 The common femoral artery is often selected as the access route for TEVAR, and the patient is often placed in supine position. However, other access routes have been described in the literature when the common femoral artery is not suitable due to inadequate diameter, tortuosity, or occlusive disease.…”