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Despite the development and improvement of different generations of aortic stents, endoleaks remain a potentially serious complication of endovascular therapy, requiring regular and prolonged monitoring. At the thoracic level, these endoleaks seem to be less frequent than at the abdominal level and their predictive factors have been little studied.Our objectives were to compare elective versus emergency endovascular treatment of thoracic aortic pathologies by analyzing mortality, postoperative morbidity, and the rate of endoleaks, as well as the predictive factors of their occurrence, in particular the "emergency" criterion.