Procedures

Abdominal Aortic Aneurysm (AAA): Endovascular Aortic Repair (EVAR)

An abdominal aortic aneurysm can be treated be endovascular means. If the aneurysm is anatomically suitable (proximal neck 15mm length and less than 30 mm diameter) an endovascular stentgraft is deployed via the common femoral arteries. Because most stentgrafts are modular, both access vessels are needed. The distal landing zones are located in the common iliac arteries above the iliac bifurcation. EVAR also prevents the aneurysm from rupturing.

All Steps in Detail

Step 1: Bitte kontrollieren / Formatierung nicht gleich wie bei restlichen Procedures

  1. Ultrasound-guided puncture of both common femoral arteries
  2. Use closure devices for large bore holes if available
  3. Short introducer sheaths 7 or 8 -French in both common femoral arteries
  4. Soft J-tipped guidewire (Terumo) right - pigtail right  - introduce stiff wire over pigtail right
  5. Soft J-tipped guidewire (Terumo left) - pigtail left
  6. Position the fluoroscopic unit to center aorta and renal arteries in order to avoid parallax error. Lock the table and C-arm in a perirenal position and perform an angiogram with a one-field magnification over left pigtail
  7. Insert main body of the endograft over the right side and deploy partially (until the contralateral gate opens)
  8. Angiogram over pigtail left to control for correct graft position in relation to renal arteries
  9. Deploy proximal bare stents and ipsilateral leg
  10. Pull back pigtail left /Terumo into the aneurysm and canulate short contralateral leg of main body
  11. Exchange Terumo gw with stiff wire
  12. Reverse flow angiogram to verify position of internal iliac artery
  13. Implantation of left endograft leg
  14. Final angiogram

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Courses Teaching this Procedure

European Vascular Master Class 2026

Jan 21, 2026
 - 
Jan 23, 2026
More Information

Simulators Used for this Procedure

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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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