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Should asymptomatic penetrating aortic ulcer be trated with tevar? 


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Treatment of asymptomatic penetrating aortic ulcers (PAUs) with thoracic endovascular aortic repair (TEVAR) provides excellent clinical success and acceptable complication and reintervention rates. Scalloped TEVAR (scTEVAR) can be used to safely lengthen the proximal sealing zone and address more proximal pathologies . According to registry data, endovascular repair of PAU is technically feasible with acceptable perioperative outcomes . A hybrid procedure with partial debranching and thoracic endovascular repair of PAUs is a safe and less-invasive alternative for elderly, high-risk patients . TEVAR is a reliable treatment option for PAUs, with good outcomes and low rates of endoleaks . Therefore, TEVAR can be considered as a treatment option for asymptomatic PAUs, providing excellent clinical success and acceptable complication rates. However, further studies are needed to investigate long-term outcomes before invasive treatment of PAU disease in an elderly and comorbid patient population can be recommended .

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The provided paper does not specifically mention whether asymptomatic penetrating aortic ulcers should be treated with TEVAR.
The paper does not specifically mention whether asymptomatic penetrating aortic ulcers should be treated with TEVAR.
The paper does not specifically address whether asymptomatic penetrating aortic ulcers should be treated with TEVAR.
The paper does not specifically mention whether asymptomatic penetrating aortic ulcers should be treated with TEVAR.

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