Procedures

Planning and Sizing of EVAR

Planning and sizing for Endovascular Aneurysm Repair (EVAR) are absolutely essential steps in the procedure — they directly determine whether the repair will be safe, effective, and durable. Poor or inadequate planning can lead to technical failure, complications, or the need for reintervention.

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Educational objecitves

Familiarize with

  • Understanding of infrarenal aorta anatomy
  • Preoperative imaging and assessment
  • Sizing of endograft
  • Assessing endograft suitability
  • Patient and device selection
  • Planning for access site and deployment
  • Intraoperative imaging and graft positioning
  • Risk assessment and intraoperative complications
  • Experience proper steps of implantation (simulator); optional: sizing/planning with remote supervision
All Steps in Detail

Steps

  1. Tips and tricks for image transfer and loading of data into post-processing software
  2. Imaging data (DICOM) check: modality, method, quality, and anatomical range
  3. Identification of pathology
  4. First approach check: overview of the aortic configuration, pros & cons of endovascular; procedural challenges (quality of landing zones, vascular access)
  5. Detailed sizing with dedicated software
  6. Vascular morphometry: proximal and distal landing zone, pathology and relevant adjacent anatomic structures, access vessels
  7. Quick prep: image based determination of C-Arm angulation – cranio-caudal; right-left, correction of parallax errors
  8. Define procedural strategy including choice of graft (type, number, size, etc.), relevant challenges (risk assessment) and access
  9. Selection and planning of adequate endografts (within IFU)
  10. Define potential pitfalls
  11. Follow-up analysis: endo repair tools
  12. Perform EVAR in real patient data (same as for planning) using a simulator
  13. Optional: Continue home based analysis of provided AAA cases using local or provided software and submit results to VI (or tutors)=> additional certificate

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Control of educational objectives

Pictures and Drawings

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Links and Downloads

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Courses Teaching this Procedure

Complex Endovascular Aortic Repair (BREVAR, FEVAR)

Oct 19, 2026
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Oct 19, 2026
More Information

Simulators Used for this Procedure

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About Vascular International

The Vascular International (VI) School for Vascular Surgery is dedicated to advancing the training and education of vascular surgical techniques through the use of lifelike models. With patient safety as the top priority, VI continuously strives to enhance vascular surgery training, ensuring the highest standards of safe and effective open and endovascular patient care.

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