A 35 Year History of Stent Grafting, and How EVAR Conquered the World

This historical perspective on the origins of endovascular aortic repair (EVAR) is based on the authors' European Society for Vascular Surgery (ESVS) 2019 Volodos Honorary Lecture held on 26 September 2019 in Hamburg, Germany. The original title of the lecture was “The Quest for Simplicity: Occam's Razor (= a principle attributed to William of Occam, ie. explaining a thing should not make more assumptions than necessary) and the Development of EVAR”.

What is Endovascular Aortic Repair (EVAR)?

Endovascular Aortic Repair (EVAR) is the most common form of treatment for infrarenal aortic aneurysms. For a standard repair the procedure usually takes between 60 to 90 minutes, you will be discharged and returned home after a few days in hospital.

Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm: A Comprehensive Review

Endovascular aneurysmal repair (EVAR) for AAA is a minimally invasive endovascular procedure that involves the placement of a bifurcated or tubular stent-graft over the AAA to exclude the aneurysm from arterial circulation. In contrast to open surgical repair, EVAR only requires a stab incision, shorter procedure time, and early recovery.

Endovascular revolution in the aorta: 25 years of a landmark case

Parodi’s journey towards an endoluminal repair for aortic aneurysms began when he was 34 years old. After he and his team had two consecutive bad outcomes following abdominal aortic aneurysm repair on the same day, Parodi was inspired to develop a new approach.

Endovascular treatment for ruptured abdominal aortic aneurysm

Endovascular aneurysm repair (EVAR), a minimally invasive technique, has been shown to reduce early morbidity and mortality as compared to conventional open surgery for planned AAA repair. More recently emergency endovascular aneurysm repair (eEVAR) has been used successfully to treat ruptured abdominal aortic aneurysm (RAAA), proving that it is feasible in select patients; however, it is unclear if eEVAR will lead to significant improvements in outcomes for these patients or if indeed it can replace conventional open repair as the preferred treatment for this lethal condition.

Hybrid emergency room management of a ruptured abdominal aortic aneurysm

The use of hybrid ERs has the potential to enhance the speed and quality of diagnostic and definitive treatment of rAAAs.

Modern History of Aortic Surgery, by Hazim J. Safi, MD

While the history of aortic surgery dates back to Greek surgeon Antyllus, who first performed surgeries for various aneurysms in the second century AD, the majority of advancements has been in the past century and, primarily, from the Houston, Texas, group led by Dr. Michael DeBakey.

My Kit for Emergent EVAR

Today, the proportion of emergent/acute symptomatic abdominal aortic aneurysm (AAA) patients being treated by endovascular means is steadily increasing, and ample evidence exists regarding the safety and efficacy of these procedures in academic tertiary medical centers as well as community hospitals.

The Fall of a Giant Professor Nicolai Leontyevich Volodos May 15, 1934–April 3, 2016

In September 2015, at the Annual General Meeting of the European Society for Vascular Surgery in Porto, one of the highlights was to listen to Professor Nicolai Volodos deliver a memorable lecture to commemorate the 30-year anniversary of his great innovation; stent-grafting of the aorta and iliac arteries.

What are the pros and cons of open vs. endovascular (keyhole repair)?

However there are two major disadvantages to the keyhole procedure as compared with an open repair. Firstly, in order to seal off the aneurysm successfully, a keyhole procedure requires a good length of normal artery above and below the aneurysm so that the graft can successfully seal against the wall of the normal artery in order to make it a blood tight seal and stop any blood reaching the aneurysm. The problem is that for some people the shape of their aneurysm makes this impossible.