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Endovascular Aneurysm Repair and Sealing (EVARS): A Useful Adjunct in Treating Challenging Morphology

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Abstract

An 81-year-old male with previous open abdominal aortic aneurysm repair presented with asymptomatic large pseudoaneurysms at both ends of an open surgical tube graft. Endovascular aneurysm sealing (EVAS) in combination with the iliac limbs of a standard endovascular aneurysm repair (EVAR) successfully excluded both pseudoaneurysms from circulation. We describe the combination of elements of EVAS and EVAR and have termed this endovascular aneurysm repair and sealing (EVARS). EVARS has the advantage of harnessing the benefits of endobag sealing in aortic necks unsuitable for standard EVAR whilst providing the security of accurate stent placement within short common iliac arteries. In conclusion, EVAS may be combined with standard endovascular iliac limbs and is a possible treatment option for pseudoaneurysm following open aneurysm repair.

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Authors and Affiliations

  1. Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Prescot Street, Liverpool, L7 8XP, UK

    Gareth J. Harrison, George A. Antoniou, Francesco Torella, Richard G. McWilliams & Robert K. Fisher

Authors
  1. Gareth J. Harrison
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  2. George A. Antoniou
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  3. Francesco Torella
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  4. Richard G. McWilliams
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  5. Robert K. Fisher
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Corresponding author

Correspondence to Robert K. Fisher.

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Conflict of interest

Franceso Torella and Robert Fisher have received proctorship fees from Endologix. Francesco Torella has received educational Grants form Endologix. Richard McWilliams is a consultant to Cook Medical and has also received educational support from Cook Medical.

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Harrison, G.J., Antoniou, G.A., Torella, F. et al. Endovascular Aneurysm Repair and Sealing (EVARS): A Useful Adjunct in Treating Challenging Morphology. Cardiovasc Intervent Radiol 39, 616–619 (2016). https://doi.org/10.1007/s00270-015-1221-1

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  • DOI: https://doi.org/10.1007/s00270-015-1221-1

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