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Postgrad Med J 2007;83:21-27 doi:10.1136/pgmj.2006.051177
  • Review

Endovascular abdominal aortic aneurysm repair

  1. M G A Norwood1,
  2. G M Lloyd1,
  3. M J Bown1,
  4. G Fishwick2,
  5. N J London1,
  6. R D Sayers1
  1. 1Department of Vascular Surgery, The Leicester Royal Infirmary, Leicester, UK
  2. 2Department of Radiology, The Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to:
 MrM G A Norwood
 Vascular Surgery Group, RKCSB, Leicester Royal Infirmary, Leicester LE2 7LX, UK; drmikenorwood{at}hotmail.com
  • Received 6 July 2006
  • Accepted 7 August 2006

Abstract

The operative mortality following conventional abdominal aortic aneurysm (AAA) repair has not fallen significantly over the past two decades. Since its inception in 1991, endovascular aneurysm repair (EVAR) has provided an alternative to open AAA repair and perhaps an opportunity to improve operative mortality. Two recent large randomised trials have demonstrated the short and medium term benefit of EVAR over open AAA repair, although data on the long term efficacy of the technique are still lacking. This review aimed at providing an overview of EVAR and a discussion of the potential benefits and current limitations of the technique.

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