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Endovascular Aneurysm Repair (EVAR) Module

Get Ready for Tough Neck, Tortuous Iliac or Endoleak

This module allows for practicing endovascular abdominal aortic aneurysm repair using a stent graft system with a realistic deployment handle. The steps include aortography, deployment of the bifurcated and contralateral leg stent graft components, deployment of iliac or aortic extenders, and touch-up ballooning. The trainee may encounter complications such as endoleak Type I or III due to incorrect stent graft sizing or positioning and try to manage them. Patient anatomies vary in aortic neck diameters, lengths, and angulations, aneurysm sizes and orientations, iliac arteries diameters, tortuosity, and calcification.

Learning Objectives:

  • To practice EVAR in a variety of anatomies, including various neck diameters, lengths, and angulation, tortuous and calcified iliacs
  • To learn how to appropriately size stent-graft components
  • To become proficient in planning an intervention in various anatomical settings
  • To gain confidence in procedural steps using a self-guided tutorial
  • To gain competence in accurately positioning and deploying an infrarenal stent-graft without compromising important vessels
  • To practice contralateral gate cannulation using different catheter curves and verifying wire position.
  • To practice identifying and managing Type Ia, Type Ib, and Type III endoleaks


Vascular Surgery, Interventional Radiology, Thoracic Surgery

Original CT Baseline CT
Stent Graft Ready To Be Deployed Stent Graft Ready To Be Deployed
Contralateral Gate Cannulation Contralateral Gate Cannulation
Contralateral Leg Deployed Contralateral Leg Deployed
Balloon Inflation Balloon Inflation
Final Angiography Final Angio

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