Advancing Skills,
Improving Outcomes

An endovascular aortic aneurysm repair(EVAR) is a surgical procedure to treat an aortic aneurysm, a dangerous bulge in the body's main artery. When the thoracic rather than the abdominal aorta is concerned, the procedure is called TEVAR (thoracic endovascular aneurysm repair). During the procedure, the aneurysmal segment of the aorta is excluded from the circulation by placing and deploying a stentgraft, typically introduced via small incisions in the groin. This procedure is performed to prevent the aneurysm from rupturing, which is an acutely life-threatening event with high mortality.

‍

Complex endovascular aortic repair can be necessary in several specific clinical scenarios, usually involving complicated aortic pathology that cannot be adequately managed with standard endovascular techniques. Some common indications include aortic aneuryms extending into the juxtarenal, pararenal or visceral aorta or into the aortic arch, and aortic dissections. Image analysis and preprocessing is absolutely key.

Training in imaging and preprocessing for endovascular surgery is essential in this rapidly evolving field. Precise analysis and measurements are key and optimizes procedural planning and therefore proper device selection and strategic procedure planning. Training includes recognizing potential complications that can be identified through imaging, such as dissections, perforations, or thrombosis following endovascular interventions. As technology advances, ongoing education in imaging modalities and preprocessing methods will remain integral to the practice of endovascular surgery.