Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications Endovaskuläre Therapie abdomineller Aortenaneurysmen: Standards, technische Optionen und erweiterte Indikationen

Endovascular aneurysm repair (EVAR) was first published in 1991 by Parodi [1] and has since become a recognized standard method of treating infrarenal abdominal aortic aneurysms (AAA). The advantage of this minimally invasive treatment method is a reduced perioperative morbidity rate. EVAR is therefore the preferred treatment option particularly for older patients with an increased risk profile [2]. Technical advancements and the introduction of flexible low-profile systems continually expand the indications. The latest techniques, such as the chimney technique, or custom-made prosthesis systems allow treatment of complex paraand suprarenal aneurysms with the possibility of endovascular recanalization of the visceral vessels [3, 4]. The present study explains the indications for EVAR, presents evidence-based data regarding endovascular aneurysm repair, and discusses the current technical possibilities including the latest techniques for treating complex pararenal aortic aneurysms. Abstract !