Endovascular aneurysm repair (EVAR) offers significant benefits to many patients, yet the applicability of EVAR has been challenged in patients with unfavorable proximal necks or aneurysmal involvement of the iliac arteries. The latter situation occurs in 12% to 40% of…
An important requirement for endovascular aortic or iliac aneurysm repair is the presence of an adequate distal landing zone in the common iliac artery. Aneurysmal aortas are associated with dilated common iliac arteries in about 20% of patients, making patients…
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Endovascular repair of a ruptured abdominal aortic aneurysm (rAAA) was first performed successfully by Marin and colleagues on April 21, 1994. A second case was reported by Yusuf and coworkers in 1994. Since then, many centers have employed endovascular aneurysm…
Inflammatory abdominal aortic aneurysms (iAAAs) represent a small but challenging proportion of all AAAs. The evidence base for the management of iAAAs is sparse, particularly with respect to endovascular aneurysm repair (EVAR). iAAAs have historically been treated by a variety…
Endovascular aortic aneurysm repair (EVAR) is now entering its third decade and has matured into a viable alternative to open repair. The mandatory need for a suitable proximal landing zone (also referred to as “the proximal neck”) was overcome about…
Endovascular aneurysm repair (EVAR) has become established as the first-line approach to treating abdominal aortic aneurysms (AAAs). Conceptually, the idea of using vascular endoprosthesis to exclude aneurysms dates back to the late 1960s with animal experimentation. The landmark first deployment…
The introduction and propagation of screening programs for abdominal aortic aneurysm and the more frequent application of cross-sectional imaging has resulted in an increased detection of small-diameter abdominal aortic aneurysms (AAAs). Consequently, the management of these small aneurysms is becoming…
An abdominal aortic aneurysm (AAA) is lethal; if associated with rupture, it carries an 85% risk of death. In patients with AAA, early diagnosis and prophylactic surgical intervention are essential to prevent rupture. Open AAA repair was originally pioneered in…
Computed tomography (CT) is an extremely powerful tool often used in evaluating a patient with aortic disease. However, a CT scan cannot simply be ordered with the expectation that an adequate and informative study will appear at the fingertips of…