[Future outlook for endovascular aneurysm repair]

The future design of endovascular aneurysm repair depends on the development of device systems. In device development, however, there are some differences between the focus of manufacturing units and clinical requirements, i.e., the main targets of device manufacturers are the development of branched or fenestrated devices and low-profile systems, while clinical practice requires a better fit between the aortic wall and devices, improved device durability, and solutions for troublesome complications (type I endoleak, etc.) over the long-term. The results of endovascular aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR) will improve with the incorporation of clinical needs into device development. EVAR and TEVAR will play a leading role in aneurysm repair in the near future.