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. Author manuscript; available in PMC: 2023 Dec 13.
Published in final edited form as: Circulation. 2022 Nov 2;146(24):e334–e482. doi: 10.1161/CIR.0000000000001106

Recommendations for Open Versus Endovascular Repair of TAAA

Referenced studies that support the recommendations are summarized in the Online Data Supplement.

COR LOE Recommendations
Ruptured TAAA
1 B-NR 1. In patients with ruptured TAAA requiring intervention, open repair is recommended.1–5
2b C-LD 2. In patients with ruptured TAAA requiring intervention, provided that the patient is hemodynamically stable, endovascular repair may be reasonable in centers with endovascular expertise and access to appropriate endovascular stent grafts.6
Intact TAAA
1 C-LD 3. In patients with Marfan syndrome, Loeys-Dietz syndrome, or vascular Ehlers-Danlos syndrome and intact TAAA requiring intervention, open repair is recommended over endovascular repair.7–9
2b B-NR 4. In patients with intact degenerative TAAA and suitable anatomy, endovascular repair with fenestrated stent grafts, branched stent grafts, or both may be considered in centers with endovascular expertise and access to appropriate endovascular stent grafts.10–13