Anatomical fixation in ruptured aneurysms

Since the 1990s, when EVAR was born, a continuous technological evolution of the materials has been eitnessed, as well as their improvement, in order to achieve higher performing endografts in terms of precise release, safer deployment and smaller-profile deliveries with the aim to tackle more and more complex iliac accesses. Following the EVAR evolution, the unimodular bifurcated endoprosthesis Endologix Powerlink, was the first to introduce the “anatomical fixation” concept. The latest version of this endograft is called AFX2. This device is simpler to deploy and, in the USA, it has been certified for percutaneous implant. This was possible thanks to the cooperation of the Italian Vascular Surgeons. Those who became familiar with this endograft have improved its indications, even in extreme cases such as the treatment of broken abdominal aortic aneurysms, complex anatomies for less suitable accesses, tight aortic carrefours and hostile proximal necks. This is a reference book written by expert vascular surgeons for fellow surgeons and students interested in extending their knoeledge in EVAR treatment.