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Related Experiment Video

Updated: Mar 9, 2026

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Tips and tricks in vascular access for (T)EVAR.

Beatrice Fiorucci1, Nikolaos Tsilimparis1, Fiona Rohlffs1

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The Journal of Cardiovascular Surgery
|December 23, 2016
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Summary
This summary is machine-generated.

Endovascular aortic repair relies on access vessels. This review details access-related issues during endovascular aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR), offering strategies to minimize complications.

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Endovascular repair is the preferred treatment for thoracic and abdominal aortic pathologies.
  • Access vessels are critical for the success of endovascular procedures.
  • Access-related complications can lead to technical failures and patient morbidity.

Purpose of the Study:

  • To review access-related issues encountered during endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR).
  • To present solutions and strategies for minimizing adverse outcomes related to access vessels.

Main Methods:

  • Review of current literature on endovascular aortic repair access.
  • Analysis of common access-related complications in EVAR and TEVAR.
  • Synthesis of strategies to mitigate access-related risks.

Main Results:

  • Access vessel assessment is crucial for successful endovascular aortic repair.
  • Common issues include vessel tortuosity, stenosis, and inadequate size.
  • Preoperative imaging and careful patient selection are key to preventing complications.

Conclusions:

  • Minimizing access-related adverse outcomes is essential for improving EVAR and TEVAR success rates.
  • Thorough preoperative evaluation and strategic planning can significantly reduce access complications.
  • Adherence to best practices in access vessel management enhances patient safety and procedural efficacy.