EVAR procedure
All EVAR procedures were performed in a hybrid operating room by a specific team of cardiovascular surgery. The unibody endografts have been mainly used in the early period of the study. Afterwards, modular endografts have taken place for our practice in recent years. The devices used in this study were Ankura™ AAA (Lifetech) in 89 patients (40.1%), AFX® (Endologix) in 68 patients (30.6%), Endurant™II (Medtronic) in 58 patients (26.1%), Gore®Excluder® (Gore) in five patients (2.3%) and E-vita Abdominal XT (Jotec) in two patients (0.9%).
Procedures performed in the hybrid room under general (169 patients, 76.1%) or loco-regional anesthesia (53 patients, 23.9%), based upon surgical team, anesthesiologist and patient preference. Modular endografts were deployed with standard fashions and the technique for unibody endograft deployment has been previously described.6 The Endologix AFX®device (unibody) consists of a main bifurcated unibody and a proximal aortic extension. This endograft is the only graft with anatomical fixation at the aortic bifurcation. The aortic extension is placed at the infrarenal position. Completion angiography was performed after the procedure. Type 1 endoleaks were treated by balloon angioplasty and placement of extension cuff if needed. Type 2 endoleaks were followed.