Key result
EVAR success depends on meticulous patient selection based on aneurysm size, morphology, and neck quality.
Why the study?
Successful outcomes with endovascular aortic aneurysm repair depend on meticulous patient selection, making understanding patient eligibility criteria crucial to maximize technical success and minimize complications.
Meticulous patient selection, including assessment of aneurysm size, morphology, and neck quality, is crucial for maximizing technical success and clinical outcomes in EVAR.
Careful anatomical assessment guides EVAR eligibility; review extends selection criteria but prospective validation remains needed.
Endovascular aortic aneurysm repair (EVAR) has become the preferred treatment for abdominal aortic aneurysms, offering a minimally invasive alternative to open surgery. However, successful outcomes depend on meticulous patient selection. This review explores the key criteria for patient eligibility, including aneurysm size, morphology, and the quality of the proximal and distal aneurysm necks. Additionally, imaging assessment and various device variables, including anatomical suitability, are examined to emphasize their influence on procedural success. As EVAR technology evolves, understanding the nuances of patient selection remains crucial for maximizing technical success and clinical outcomes, while minimizing complications including endoleaks and migration, and extending the benefits of the procedure to a broader range of patients.
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Taragjini et al. (2024) conducted a review in Abdominal aortic aneurysms. Endovascular aortic aneurysm repair (EVAR) was evaluated. Endovascular aortic aneurysm repair requires meticulous patient selection based on aneurysm size, morphology, and neck quality to maximize technical success and clinical outcomes.
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