CIRSE Standards of Practice on the Endovascular Management of Descending Thoracic Aortic Disease

Endovascular management of descending thoracic aortic disease (aneurysm, acute aortic syndrome and traumatic injury) is an effective, minimally invasive treatment that over the last 20 years has superseded surgical repair and become the standard of care. This CIRSE Standards of Practice document recommends best evidence-based practices for the endovascular management of descending thoracic aortic disease. This includes diagnostic imaging, surveillance, indications for intervention, endovascular treatments, their outcomes, and follow-up. The writing group, established by the CIRSE Standards of Practice Committee, reviewed the literature, and the final recommendations were formulated through consensus. Endovascular treatment has an established role in the successful management of thoracic aortic disease, and this Standards of Practice document provides up-to-date recommendations for its safe performance.