What is the evidence supporting thoracic endovascular stent (TEVAR) for a 65-year-old patient with type B aortic dissection and stable aneurysm, specifically using the candy-plug technique with a bespoke stent? Is this approach supported by strong evidence of safety and efficacy compared to other treatment options, and is it endorsed by NICE or other national guidelines? Is it available on the NHS?
Tripdatabase;
What is the evidence supporting thoracic endovascular stent (TEVAR) for a 65-year-old patient with type B aortic dissection and stable aneurysm, specifically using the candy-plug technique with a bespoke stent? Is this approach supported by strong evidence of safety and efficacy compared to other treatment options, and is it endorsed by NICE or other national guidelines? Is it available on the NHS?
TEVAR is supported for complicated type B aortic dissections, but specific techniques such as the candy-plug lack robust evidence and guideline endorsements, and NHS availability is uncertain.