Brave new world: the role for endovascular aneurysm repair in contemporary vascular surgery.
Endovascular abdominal aortic aneurysm repair (EVAR) poses certain challenges to the vascular surgeon. Based upon our 6-year experience, we have highlighted important aspects of patient selection. EVAR can be performed in patients with significant co-morbidities, but technical success may be limited by anatomic criteria. Short to mid-term outcomes report low mortality and morbidity from EVAR. Acute and delayed conversion, rupture, endoleak, limb occlusion, and migration are complications occurring in EVAR; their frequency, presentation and management are described. EVAR has up to 90% success rate at several years follow-up including the use of secondary procedures. Secondary procedures are not infrequent after EVAR; thus close follow-up is of the utmost importance. We predict that EVAR will continue to be a valuable tool in the future.
Tonnessen
B H
BH
Section of Vascular Surgery, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.
Sternbergh
W C
WC
Money
S R
SR
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000639:trends; D005544:Forecasting; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000639:trends; D018579:Patient Selection; D011183:Postoperative Complications; D015607:Stents