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.

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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 on leg arteries, anastomosis, and bypass procedures is crucial for developing the skills necessary to perform vascular surgeries safely and effectively. Comprehensive training that combines anatomy, proper surgical techniques, and patient care will prepare surgical trainees to deliver high-quality vascular care. Even in the endovascular era, vascular surgery training remains critically important for managing the growing elderly population for several reasons.