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Invited Critique
Mar 2012

Thoracic Aortic Endovascular Aneurysm Repair for Acute Thoracic Aortic Catastrophes: The Need for Subgroup Analysis: Comment on “Emergent Repair of Acute Thoracic Aortic Catastrophes”

Author Affiliations

Author Affiliation: Division of Vascular Surgery and Endovascular Therapy, The Johns Hopkins Hospital, Baltimore, Maryland.

Arch Surg. 2012;147(3):249-250. doi:10.1001/archsurg.2011.1512

Thoracic aortic endovascular aneurysm repair is now the treatment of choice for those with suitable anatomy. As vascular surgeons have become more familiar with this technique, they have used it for the treatment of ACDTA as an off-label application.

Naughton et al1 should be commended for critically comparing their experience of TEVAR and open repair of ACDTA. Indeed, their results are on par with large industry-sponsored cohorts and published meta-analyses.2-4