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Aortic Intervention
December 1st, 2013

Keys to a Durable Endovascular Repair: Experts Share Their Views on Managing Aortic Disease Progression


A Supplement to Endovascular Today, Nov., 2013 sponsored by Cook Medical

Endovascular-Today-November-Supplement“The understanding of the progressive nature of aortic disease is evolving; therefore, the approach to endovascular aneurysm repair (EVAR) must also evolve. As a chronic condition that requires long-term management, the ability to achieve a durable repair becomes the central consideraton and objective. This is true as much for EVAR as it has been for open surgical repair. The questions to be asked and answered, however, focus on the factors that need to be considered and the decisions that need to be made to provide the best possible durable repair for the patient at any age and with aortic disease at any stage of progression.

In pursuit of the answers, we have asked a group of experienced physicians to present articles that attempt to further our understanding of the progressive nature of aortic disease. In his piece, ‘Awareness of Managing Aortic Disease Progression,’ Professor Stephen Haulon begins by sharing his perspectives on the principles he adopts to achieve a long-term durable repair.

In ‘Aortic Aneurysm Sac Enlargement After EVAR,’ Andres Schanzer, MD, presents evidence that aneurysmal sac enlargement results from the progression of aortic disease post EVAR.

Nikolaos Tsilimparis, MD, and Tilo Kölbel MD, PhD, explain how it is possible to achieve an acceptable seal zone from the aortic arch to the iliac bifurcation in ‘What Signs Indicate a Compromised Seal Zone?’

Lastly, Marty Knowles, MD; M. Shadman Baig, MD; and Carlos H. Timaran, MD, suggest an approach to device selection that can assist physicians in managing progressive aortic disease in ‘Beyond Standard EVAR.’

The intent of this supplement is to engage and inform our physicians and raise the EVAR conversation to a new level. We acknowledge the progressive nature of aortic disease and are working hard to find solutions that create long-term repairs. Cook Medical will always strive to ensure that we show the necessary rigor and discipline to be the responsible partner that physicians expect. We hope this supplement provides a new perspective and even some take-home points that physicians can use in the fight against aortic disease.”

–Phil Nowell, Vice President, Cook Medical