Patient Selection Criteria for Endovascular Aortic Aneurysm Repair: Optimizing Outcomes

Christina Taragjini; Brian Schiro; Bente A. T. van den Bemd; Constantino S. Pena

doi:10.1055/s-0044-1800848

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2024; 41(06): 576-580
DOI: 10.1055/s-0044-1800848

Review Article

Patient Selection Criteria for Endovascular Aortic Aneurysm Repair: Optimizing Outcomes

Christina Taragjini

¹Herbert Wertheim College of Medicine, Florida International University, Miami, Florida

,

Brian Schiro

¹Herbert Wertheim College of Medicine, Florida International University, Miami, Florida

²Department of Interventional Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, Florida

³Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida

,

Bente A. T. van den Bemd

²Department of Interventional Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, Florida

³Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida

⁴Department of Radiology and Nuclear Medicine, Amsterdam UMC, Cancer Center Amsterdam, Amsterdam, The Netherlands

,

Constantino S. Pena

¹Herbert Wertheim College of Medicine, Florida International University, Miami, Florida

²Department of Interventional Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, Florida

³Department of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida

› Author Affiliations

Abstract

Endovascular aortic aneurysm repair (EVAR) has become the preferred treatment for abdominal aortic aneurysms, offering a minimally invasive alternative to open surgery. However, successful outcomes depend on meticulous patient selection. This review explores the key criteria for patient eligibility, including aneurysm size, morphology, and the quality of the proximal and distal aneurysm necks. Additionally, imaging assessment and various device variables, including anatomical suitability, are examined to emphasize their influence on procedural success. As EVAR technology evolves, understanding the nuances of patient selection remains crucial for maximizing technical success and clinical outcomes, while minimizing complications including endoleaks and migration, and extending the benefits of the procedure to a broader range of patients.

Keywords

endovascular aortic aneurysm repair - aortic aneurysm - endoleaks - abdominal aortic aneurysm

Full Text

References

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