Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 11-12, Pages: 792-799
https://doi.org/10.2298/SARH1212792K
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Endovascular aortic repair: First twenty years
Končar Igor (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Čolić Momčilo (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Ilić Nikola (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Cvetković Slobodan (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Dragaš Marko (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Činara Ilijas (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Kostić Dušan (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Davidović Lazar (Klinika za vaskularnu i endovaskularnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Endovascular aortic/aneurysm repair (EVAR) was introduced into clinical
practice at the beginning of the nineties. Its fast development had a great
influence on clinicians, vascular surgeons and interventional radiologists,
educational curriculums, patients, industry and medical insurance. The aim of
this paper is to present the contribution of clinicians and industry to the
development and advancement of endovascular aortic repair over the last 20
years. This review article presents the development of EVAR by focusing on
the contribution of physicians, surgeons and interventional radiologists in
the creation of the new field of vascular surgery termed hybrid vascular
surgery, and also the contribution of technological advancement by a
significant help of industrial representatives – engineers and their
counselors. This article also analyzes studies conducted in order to compare
the successfulness of EVAR with up-to-now applied open surgical repair of
aortic aneurysms, and some treatment techniques of other aortic diseases.
During the first two decades of its development the EVAR method was rapidly
progressing and was adopted concurrently with the expansion of technology.
Owing to large randomized studies, early and long-term results indicate
specific complications of this method, thus influencing further technological
improvement and defining risk patients groups in whom the use of the
technique should be avoided. Good results are insured only in centers,
specialized in vascular surgery, which have on their disposal adequate
conditions for solving all complications associated with this method.
Keywords: aortic aneurysm, endovascular treatment, hybrid procedures, development process