Open AccessThe Current Status Of Endovascular Repair Of Abdominal Aortic Aneurysms (EVAR)
Author(s) -
Joseph J. Naoum,
Nyla Ismail,
Eric K. Peden
Publication year - 2011
Publication title -
methodist debakey cardiovascular journal
Language(s) - English
Resource type - Journals
eISSN - 1947-6094
pISSN - 1947-6108
DOI - 10.14797/mdcj-7-3-11
Subject(s) - medicine , webcast , medline , health care , medical education , world wide web , computer science , political science , law , economics , economic growth
Abdominal aortic aneurysms (AAA) affect close to a quarter of a million people in the United States every year. Intervention is designed to treat the AAA when the patient becomes symptomatic and to prevent the fatality associated with rupture. Physicians and patients should weigh the risks associated with intervention compared to the risk of rupture for the particular size of the aneurysm and the patient's comorbidities. Thus, the decision to intervene, especially in asymptomatic aneurysms, is mostly based on clinical judgment. Endovascular AAA repair (EVAR) is attractive in that it offers a minimally invasive approach that obviates a major abdominal procedure and cross-clamping of aorta. We report on the current affairs of the major clinical trails evaluating the outcomes of patients undergoing EVAR and describe the current devices available in the United States for endovascular repair.