Ruptured Aneurysms Treated by Endovascular Aneurysm Repair (EVAR)
William Charles Loan MB BCh BAO FRCR
Address for correspondence:
Dr William Loan
Vascular Endovascular Surgery Unit
Belfast City Hospital
Belfast Health and Social Services Trust
Lisburn Road
Belfast BT9 7AB
Northern Ireland
Email: wloan@doctors.org.uk
Tel: 02890 329241 ex.2751
Abstract
Despite advances in surgical and intensive care techniques, the mortality rates from abdominal aortic aneurysm rupture remain high, with the condition causing approximately 10,000 deaths per year in the United Kingdom[1]. Since its first description in 1994, endovascular aneurysm repair (EVAR) has been clearly feasible, however, the technique is still finding its place in the management of the condition and has been shown to reduce the mortality associated with the condition[2,3]. The benefits of elective EVAR over open repair (OR) have been demonstrated, and these advantages are being replicated in emergency EVAR (eEVAR)[2,4,5]. This article will deal with issues of case selection, equipment, technique, and management of complications.
Dr Loan is an interventional radiologist based in the Belfast Health and Social Care trust in Northern Ireland.
He undertook surgical and radiological training in Belfast, completing an interventional fellowship at the University of Toronto and Sunnybrook and Women’s Health Science Centre.
Dr Loan’s particular interests include EVAR and critical limb ischaemia. He would like to emphasize that the ruptured aneurysm stent grafting program at the Belfast City Hospital is very much a team effort and that the commitment of the whole team is fundamental to the program.
In particular, the contribution of Professor Chee Voon Soong has been immense and an inspiration to all who knew him. He will be missed.
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