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International Journal of Vascular Medicine
Volume 2011 (2011), Article ID 964250, 8 pages
http://dx.doi.org/10.1155/2011/964250
Review Article

Techniques in Endovascular Aneurysm Repair

1Division of Vascular Surgery, University of Tennessee at Chattanooga, 979 East Third Street, Suite C-300, Chattanooga, TN 37404, USA
2Division of Vascular Surgery, Brown University, Two Dudley Street, Suite 470, Providence, RI 02905, USA
3Division of Vascular Surgery, Northwestern University and Jesse Brown Veterans Affairs Medical Center, 676 N. Saint Clair Street, Suite 650, Chicago, IL 60611, USA

Received 3 January 2011; Accepted 31 July 2011

Academic Editor: Mark D. Morasch

Copyright © 2011 Sachin V. Phade et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endovascular repair of infrarenal abdominal aortic aneurysms (EVARs) has revolutionized the treatment of aortic aneurysms, with over half of elective abdominal aortic aneurysm repairs performed endoluminally each year. Since the first endografts were placed two decades ago, many changes have been made in graft design, operative technique, and management of complications. This paper summarizes modern endovascular grafts, considerations in preoperative planning, and EVAR techniques. Specific areas that are addressed include endograft selection, arterial access, sheath delivery, aortic branch management, graft deployment, intravascular ultrasonography, pressure sensors, management of endoleaks and compressed limbs, and exit strategies.