This Article Full Text (PDF) All Versions of this Article: 1531003508319379v1 20/2/115    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Clagett, G. P. Search for Related Content PubMed PubMed Citation Articles by Clagett, G. P. Pubmed/NCBI databases Medline Plus Health Information Aortic Aneurysm Social Bookmarking                         What's this?

EVAR, TEVAR, FEVAR, Too Far?

Division of Vascular and Endovascular Surgery, UT Southwestern Medical Center at Dallas, Texas, Patrick.Clagett{at}UTsouthwestern.edu

Endovascular aneurysm repair (EVAR) is the greatest technological advance in the field of vascular and endovascular surgery in the past 15 years. However, its widespread application has created potential problems, and EVAR may be overused in some circumstances. As long-term outcome data are being sought for EVAR, it is becoming apparent that complications (infection, device migration, and the development of late endoleaks, aneurysm growth, and rupture) are occurring at a higher rate than anticipated. It is also apparent that follow-up is not complete in a large proportion of patients after EVAR, and these are the patients most prone to present with late complications. Surgeons are placing devices in large numbers of patients with poor anatomy for EVAR, in part because of pressures from patients, families, and referring physicians. In patients with good anatomy, EVAR is an excellent option and will likely be durable. In those with unfavorable anatomical features, we need to better appreciate the potential for adverse long-term outcomes and advocate more strongly for open repair.

Key Words: endovascular aneurysm repair • abdominal aortic aneurysm • endoleaks

This version was published on June 1, 2008

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 20, No. 2, 115-119 (2008)
DOI: 10.1177/1531003508319379


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				G. R. Upchurch Jr, J. L. Eliason, J. E. Rectenwald, G. Escobar, L. Kabbani, and E. Criado Endovascular Abdominal Aortic Aneurysm Repair Versus Open Repair: Why and Why Not? Perspectives in Vascular Surgery and Endovascular Therapy, March 1, 2009; 21(1): 48 - 53. [Abstract] [PDF]