ABSTRACT
The widespread introduction of endovascular aneurysm repair (EVR) has introduced a new
spectrum of potential complications. While some, such as groin access complications, were
predictable; others, including endoleak and stent migration were unique to EVR. Most
worrying was the potential for continued aneurysm expansion and rupture despite apparent
successful aneurysm exclusion. Uncertainty about the significance of these complications
tempered the appeal of EVR to many, and initial optimism was replaced by considerable
scepticism regarding the durability of EVR, compared with the proven track record for
open repair.
