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Endovascular Abdominal Aortic Aneurysm Repair.
Akshit Sharma1, Prince Sethi1, Kamal Gupta1
1Department of Cardiovascular Medicine, University of Kansas School of Medicine, 3901 Rainbow Boulevard, Delp 1001, Kansas City, KS 66160, USA.
Interventional Cardiology Clinics
|March 10, 2020
Summary
Endovascular aneurysm repair (EVAR) is the preferred treatment for most abdominal aortic aneurysms, offering lower risks than open surgery. Careful patient selection and follow-up are crucial for successful EVAR outcomes.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Treatment
Background:
- Abdominal aortic aneurysms (AAAs) are a significant cause of morbidity and mortality.
- Endovascular Aneurysm Repair (EVAR) has become the dominant treatment modality for AAAs.
- EVAR offers advantages over open surgical repair, including reduced periprocedural mortality and morbidity.
Purpose of the Study:
- To review the current practice of EVAR for abdominal aortic aneurysms.
- To highlight key factors for successful EVAR outcomes.
- To discuss complications and evolving technologies in EVAR.
Main Methods:
- Review of current clinical practice and literature regarding EVAR.
- Emphasis on pre-procedural anatomical assessment (aneurysm neck, iliac, and access vessels).
- Discussion of post-procedural surveillance and management of complications.
Main Results:
- EVAR is associated with lower periprocedural risks compared to open repair.
- Successful EVAR requires meticulous pre-procedural planning and patient selection.
- Endoleaks are the most common complication, often manageable with endovascular techniques.
Conclusions:
- EVAR is a safe and effective treatment for abdominal aortic aneurysms.
- Patient compliance with long-term imaging follow-up is essential for EVAR success.
- Advancements in technology and techniques are expanding EVAR applicability and improving long-term results.
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