title: Endovascular aneurysm repair of abdominal aortic aneurysms: standards, technical options and advanced indications.
abstract: Since the introduction of endovascular aneurysm repair (EVAR) in 1991, the endovascular therapy with newest stent grafts has assumed a prominent role in the clinical management of abdominal aortic aneurysms (AAA) with a superior perioperative mortality of EVAR and an equivalent mid-term outcome, compared to open surgery. Newest techniques using chimney or periscope grafts and customized fenestrated and branched stent grafts allow the endovascular treatment of complex pararenal AAA. This article reviews EVAR in the treatment of AAA, evidence based results and advanced indication by newest interventional techniques and technical developments.
  
  
  CONCLUSIONS
  • EVAR has become standard treatment of abdominal aortic aneurysm with equivalent results to open surgery.• Technical advancements and the introduction of newest stent grafts continually expand the indication of EVAR.• Chimney- and periscope grafts as well as custom-made prothesis systems allow endovascular treatment of complex para- and suprarenal aneurysms.
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: D
authors.initials: D
authors.lastname: Ketelsen
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: C
authors.initials: C
authors.lastname: Thomas
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: J
authors.initials: J
authors.lastname: Schmehl
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: C W
authors.initials: CW
authors.lastname: König
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: R
authors.initials: R
authors.lastname: Syha
authors.affiliation: Internal Medicine IV - Angiology, University Hospital Tuebingen.
authors.forename: K
authors.initials: K
authors.lastname: Rittig
authors.affiliation: Internal Medicine IV - Angiology, University Hospital Tuebingen.
authors.forename: B
authors.initials: B
authors.lastname: Balletshofer
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: C D
authors.initials: CD
authors.lastname: Claussen
authors.affiliation: Diagnostic and Interventional Radiology, University Hospital Tuebingen.
authors.forename: K
authors.initials: K
authors.lastname: Brechtel
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000592:standards*; D057510:Endovascular Procedures / Q000592:standards*; D005858:Germany; D017410:Practice Guidelines as Topic; D015641:Radiography, Interventional / Q000592:standards*; D015607:Stents / Q000592:standards*