Patient and graft selection for EVAR

Publication date: Available online 15 December 2015 Source:Journal of Indian College of Cardiology Author(s): Clifford J. Buckley, Shirley D. Buckley Introduction Endovascular Aortic Aneurysm Repair (EVAR) is comparable to direct surgical repair; in that, it provides durable protection from rupture. Unlike open aneurysm repair, EVAR minimizes the need for invasive monitoring and ICU time, shorter length of hospital stay, and has a lower perioperative mortality/morbidity when compared to open repair, 1–3% mortality and 3–5% morbidity. Although EVAR is applicable to 75–80% of patients with abdominal aortic aneurysm (AAA), specific considerations for patient selection, often times controversial, should be reviewed. These include (a) older patients with a two-year or greater survivability (b) multiple comorbidities which define high risk for open repair (c) preservation of erectile function and (d) suitable anatomy for EVAR.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research