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Related Experiment Video

Updated: May 12, 2026

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Are concerns about EVAR durability relevant with modern devices?

I M Nordon¹, M M Thompson, I M Loftus

¹Department of Vascular Surgery, University Hospital Southampton, Tremona road, Southampton, UK. ian.nordon@uhs.nhs.uk

The Journal of Cardiovascular Surgery

|April 6, 2013

Summary

This summary is machine-generated.

Endovascular aneurysm repair (EVAR) offers durable treatment for abdominal aortic aneurysms (AAA). Modern EVAR techniques and devices, combined with expert care, ensure long-term success for most suitable patients.

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Area of Science:

Vascular Surgery
Endovascular Interventions
Aortic Aneurysm Management

Background:

Endovascular aneurysm repair (EVAR) is the standard first-line treatment for large abdominal aortic aneurysms (AAA), with up to 80% of patients being suitable.
Despite evidence of improved early outcomes and patient preference, concerns about EVAR durability persist, often citing historical graft failures.

Purpose of the Study:

To evaluate the current durability of endovascular aneurysm repair (EVAR) in contemporary practice.
To address ongoing concerns regarding the long-term efficacy and safety of EVAR for abdominal aortic aneurysms (AAA).

Main Methods:

Review of industry registry data and large single-center case series.
Analysis of technological advancements in EVAR devices and improvements in clinical expertise over the past decade.
Focus on outcomes related to graft migration, endoleak development, and the impact of surveillance and re-intervention.

Main Results:

Contemporary EVAR devices demonstrate durable repair for infra-renal abdominal aortic aneurysms (AAA).
Secure fixation systems in modern devices minimize graft migration and reduce the incidence of type 1 and 3 endoleaks.
Effective surveillance and timely re-interventions are crucial for maintaining long-term outcomes, even with changing patient anatomy.

Conclusions:

EVAR is a durable and effective first-line therapy for the majority of morphologically suitable patients with abdominal aortic aneurysms (AAA).
Technological advancements and centralized expertise have significantly improved EVAR's long-term reliability.
Ongoing surveillance and prompt endovascular re-interventions are key to ensuring robust, lasting results from EVAR.