This review highlights the evolution, advantages, and ongoing challenges of EVAR for abdominal aortic aneurysms, particularly regarding endoleak management and complex anatomies.
Endoleak surveillance remains essential after EVAR; leaves open optimal strategies for complex anatomies pending prospective data.
Endovascular aneurysm repair (EVAR) has been a revolutionary development in the treatment of abdominal aortic aneurysms (AAAs) since its introduction in the early 1990s. The result of the two randomized controlled trials comparing EVAR versus open repair for the treatment of AAAs has provided some insight to the advantages and limitations of EVAR technology. Endoleaks continue to be a challenge for EVAR and most endoleaks can now be successfully managed by endovascular techniques. Fenestrated and branched stent-graft technology is increasingly applied to patients with complex AAA anatomies. This paper outlines some of the concepts and discusses the controversies and challenges facing clinicians involved in EVAR today and in the future.
No takes yet. Share an insight, caveat, or question.
Hyo‐Cheol Kim (2011) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: