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  ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSMS 

The Journal of Cardiovascular Surgery 2003 August;44(4):535-42

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Brave New World: the role for endovascular aneurysm repair in contemporary vascular surgery

Tonnessen B. H., Sternbergh W. C., Money S. R.

Section of Vascular Surgery Ochsner Clinic Foundation, New Orleans, LA, USA


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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.

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