TEVAR (Thoracic Endovascular Aortic Repair) is an advanced, minimally invasive procedure used to treat serious conditions involving the thoracic aorta — including aortic aneurysm, aortic dissection, traumatic aortic rupture, penetrating ulcers, and pseudoaneurysms. Instead of open-heart or open-chest surgery, TEVAR uses a stent graft delivered through a small puncture in the groin artery, making the procedure safer with faster recovery and excellent long-term outcomes.
TEVAR treats life-threatening aortic diseases without open surgery and restores safe blood flow through the aorta.
The aorta is the largest artery in the body, carrying oxygen-rich blood from the heart to all organs. Damage to this artery can be life-threatening and requires timely treatment to prevent rupture, organ failure, or death.
- Thoracic aortic aneurysm ≥ 5.5–6 cm
- Rapid aneurysm growth (≥ 0.5 cm in 6 months)
- Symptomatic aneurysm
- Complicated Type B aortic dissection
- Traumatic aortic injury or penetrating ulcer
- Risk of rupture with suitable anatomy
When Is TEVAR Recommended?
According to ACC/AHA, ESC, and Society for Vascular Surgery guidelines, TEVAR is recommended in selected patients with aortic aneurysm, dissection, trauma, or ulcer who meet anatomical and clinical criteria.
TEVAR is indicated for thoracic aortic aneurysms ≥ 5.5–6 cm, rapidly growing aneurysms, or symptomatic aneurysms to prevent rupture.
TEVAR is recommended in complicated Type B dissections with persistent pain, malperfusion, uncontrolled hypertension, aortic expansion, or impending rupture.
TEVAR is performed using femoral artery access under local or short general anesthesia. A stent graft is delivered by catheter and deployed to seal the tear or reinforce the weakened aortic segment.
TEVAR offers a minimally invasive approach with faster recovery, reduced pain, lower mortality, less blood loss, and fewer complications compared to open surgery.
Patients can walk within 24 hours, resume normal routine in 1–2 weeks, and require lifelong follow-up with strict control of blood pressure, diabetes, and cholesterol.
Expert TEVAR Program
TEVAR provides a life-saving, minimally invasive solution for complex aortic aneurysms and dissections, offering excellent survival, faster recovery, and durable long-term outcomes.
