Techniques, Case Selection, and Pitfalls Associated with Endovascular Aneurysm Repair

  • Robert C. Allen
  • Thomas J. Fogarty


Endovascular repair of abdominal aortic aneurysms (AAAs) is an evolving procedure that allows treatment of one of the most complex forms of vascular pathology in a minimally invasive manner. The survival and future success of AAA stent-grafting is critically dependent on early clinical experience and continued excellence in AAA endovascular repair. Therefore the results must truly reflect the minimally invasive nature of the procedure as reflected in shorter operative times, less blood loss, lower operative morbidity and mortality, shortened length of hospital stay, and a quicker return to normal activities. These goals have been achieved by many investigators, with the patient the primary beneficiary.1–3 These results also reflect the expertise of the leaders in the field of endovascular AAA stent-graft repair. The factors behind these excellent results are endovascular technical prowess, proper case selection, and experience, which avoids the many possible pitfalls associated with AAA stent-grafting. Technical expertise in the most basic to the most complex catheter/guidewire skills and a thorough knowledge of the stent-graft procedure are essential requirements for successful AAA endovascular repair. Proper case selection is crucial, and important components include patient selection, complete diagnostic evaluation, device sizing, and importantly a realistic knowledge of the skill level of the operator. Endovascular AAA repair is similar to conventional AAA repair in that there is no substitute for experience, and the volume of cases performed directly relates to the avoidance of the many pitfalls along the learning curve of AAA stent-graft repair.4


Iliac Artery Abdominal Aortic Aneurysm Endovascular Repair Delivery Catheter Endovascular Aneurysm Repair 
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© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Robert C. Allen
  • Thomas J. Fogarty

There are no affiliations available

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