Endovascular Repair of Abdominal Aortic Aneurysm (EVAR)

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Figure 1: 3-dimensional reconstruction of an "ideal" anatomic candidate of EVAR.

Figure 2: Deployment of main trunk of the stent graft below the renal arteries.

Figure 3: IVUS evaluation of proximal landing zone demonstrates completely patent renal arteries.

Figure 4: Deployment of contralateral limb. Angiogram reveals the location of the internal iliac artery.

Figure 5: The stent graft is completely deployed and ballooned. Angiogram reveals patent bilateral renal and internal iliac arteries.

References

1. Schneider PA. Endovascular Skills, 3rd Ed. New York: Informa 2009.

2. Brewster DC, Cronenwett JL, Haller JW, et al. Guidelines for the treatment of abdominal aortic aneurysm: report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg 2003;37:1106-1117.

3. Greenhalgh RM, Brown LC, Kwong GP, et al. EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysms (EVAR trial 1). Lancet 2004;364:843-848.

4. Prinssen M, Verhoeven ELG, Buth J, et al. Dutch Randomized Endovascular Aneurysm Management (DREAM) Trial Group. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Eng J Med 2004;351:1607-1618.

5. Zarins CK, Crabtree E, et al. Endovascular aneurysm repair at 5 years: Does aneurysm diameter predict outcome? J Vasc Surg 2006;44:920-29.

6. Lee WA, et al. Total percutaneous access for endovascular aortic aneurysm repair (“Preclose” technique). J Vasc Surg 2007;45:1095-101.

7. Manual of Peripheral Vascular Intervention. Casserly IP, et al. Philadelphia: Lippincott Williams and Wilkins; 2005.

8. Mastery of Vascular and Endovascular Surgery. Zelenock GB, et al.; Philadelphia: Lippincott Williams and Wilkins; 2006.