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Pelvic Revascularization During Endovascular Aortic Aneurysm Repair

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Vascular Surgery

Part of the book series: New Techniques in Surgery Series ((NEWTECHN,volume 6))

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Abstract

Endovascular repair of aortic aneurysms (EVAR) has gained widespread acceptance in the treatment of abdominal aortic aneurysms (AAAs). Prospective randomized studies have shown several short-term advantages compared to open surgical repair, including less blood loss, operating time, length of stay, morbidity, and mortality. The long-term efficacy of EVAR is dependent upon careful selection of patients with respect to anatomical factors such as excessive angulation, vessel tortuosity, or involvement of visceral or iliac arteries. Although many of these anatomical constraints were previously considered to be relative contraindications to EVAR, technological advances have expanded the indications to include patients with more challenging anatomy. This chapter summarizes the evolution of methods used for preservation of pelvic flow in patients with aortoiliac aneurysms involving one or both common iliac arteries.

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Author information

Authors and Affiliations

  1. Department of Surgery, Mayo Clinic, Rochester, MN, USA

    Javairiah Fatima

  2. Department of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic Medical College, 200 First Street SW, Rochester, MN, 55905, USA

    Gustavo S. Oderich M.D., FACS

Authors
  1. Javairiah Fatima
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  2. Gustavo S. Oderich M.D., FACS
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Corresponding author

Correspondence to Gustavo S. Oderich M.D., FACS .

Editor information

Editors and Affiliations

  1. Medical Center, Department of Surgery, American University of Beirut, Cairo Street, Beirut, Lebanon

    Jamal J. Hoballah

  2. Methodist DeBakey Heart &, Vascular Center, The Methodist Hospital, 6550 Fannin Street, Houston, 77030, Texas, USA

    Alan B. Lumsden

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© 2012 Springer-Verlag London

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Fatima, J., Oderich, G.S. (2012). Pelvic Revascularization During Endovascular Aortic Aneurysm Repair. In: Hoballah, J., Lumsden, A. (eds) Vascular Surgery. New Techniques in Surgery Series, vol 6. Springer, London. https://doi.org/10.1007/978-1-4471-2912-7_4

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  • DOI: https://doi.org/10.1007/978-1-4471-2912-7_4

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2911-0

  • Online ISBN: 978-1-4471-2912-7

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