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Explore how Transcranial Doppler (TCD) monitoring enhances the safety of Thoracic Endovascular Aortic Repair (TEVAR) in this informative 10-minute video. Learn about real-time TCD monitoring techniques, changes in cerebral hemodynamics during TEVAR, and the crucial role of immediate feedback during manipulations within the aortic arch and supra-aortic vessels. Witness a procedure addressing a type 1a endoleak from an endograft placed due to aortic dissection, complicated by postsurgical anatomy. Discover how TCD feedback aids in making critical intra-operative decisions, ultimately improving patient outcomes. This medical education video, presented by Houston Methodist DeBakey Heart & Vascular Center, may contain graphic content and is part of their commitment to excellence in cardiovascular education and training.