{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:31:58Z","timestamp":1787056318174,"version":"build-2736575974"},"reference-count":73,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Abdominal aortic aneurysm (AAA) carries a rupture-related mortality exceeding 80% when untreated. Percutaneous endovascular aortic aneurysm repair (pEVAR) represents the current technical frontier, although evidence regarding its clinical and economic benefits remains heterogeneous. This narrative review of PubMed, Scopus, and Web of Science from inception to 1 August 2026 synthesises comparative data from 67 publications and four manufacturer websites to evaluate the clinical, quality-of-life, and economic outcomes of pEVAR against open femoral exposure. Current evidence suggests that pEVAR may serve as a feasible alternative to open femoral exposure, offering potential benefits regarding access-site morbidity, hospital length of stay, and early postoperative pain. While RCTs report pEVAR\u2019s early perioperative advantages, evidence regarding long-term safety, anatomy, and costs remains predominantly observational. Additionally, pEVAR allows for locoregional anaesthesia, a strategy hypothesized to positively influence short-term outcomes in ruptured aneurysm emergencies, although prospective validation is required. However, maintaining these benefits relies heavily on overcoming the procedural learning curve and ensuring rigorous pre-procedural patient selection via computed tomography angiography to avoid severe vessel calcification and excessive depth. Available evidence suggests that in carefully selected patients, pEVAR yields an overall safety profile comparable to surgical cutdown, while potentially mitigating the risk of access-site complications.<\/jats:p>","DOI":"10.3390\/jcm15166381","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:09:32Z","timestamp":1787054972000},"page":"6381","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Present-Day State of Percutaneous Endovascular Aortic Aneurysm Repair"],"prefix":"10.3390","volume":"15","author":[{"given":"Pawe\u0142","family":"Grzyb","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1925-9952","authenticated-orcid":false,"given":"Bartosz","family":"Rodziewicz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"},{"name":"Scientific Circle of Neurotraumatology, Department of Emergency Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Halman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical University of Gda\u0144sk, University Clinical Centre in Gda\u0144sk, 80-952 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0141ukasz","family":"Znaniecki","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, Medical University of Gda\u0144sk, University Clinical Centre in Gda\u0144sk, 80-952 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0434-6706","authenticated-orcid":false,"given":"Jacek","family":"Wojciechowski","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, Medical University of Gda\u0144sk, University Clinical Centre in Gda\u0144sk, 80-952 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.jvs.2010.05.090","article-title":"Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals","volume":"52","author":"Kent","year":"2010","journal-title":"J. Vasc. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","article-title":"European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms","volume":"67","author":"Wanhainen","year":"2024","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2968","DOI":"10.1001\/jama.287.22.2968","article-title":"Rupture Rate of Large Abdominal Aortic Aneurysms in Patients Refusing or Unfit for Elective Repair","volume":"287","author":"Lederle","year":"2002","journal-title":"JAMA"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1002\/bjs.10430","article-title":"Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years","volume":"104","author":"Powell","year":"2017","journal-title":"Br. J. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1583\/12-3972L.1","article-title":"Nicholay Volodos and the Origins of Endovascular Grafts","volume":"19","author":"Criado","year":"2012","journal-title":"J. Endovasc. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.ejvs.2020.03.017","article-title":"A 35 Year History of Stent Grafting, and How EVAR Conquered the World","volume":"59","author":"Ivancev","year":"2020","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"EVAR trial participants (2005). Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): Randomised controlled trial. Lancet, 365, 2179\u20132186.","DOI":"10.1016\/S0140-6736(05)66627-5"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/BF02015271","article-title":"Transfemoral Intraluminal Graft Implantation for Abdominal Aortic Aneurysms","volume":"5","author":"Parodi","year":"1991","journal-title":"Ann. Vasc. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2398","DOI":"10.1056\/NEJMoa051255","article-title":"Two-year Outcomes after Conventional or Endovascular Repair of Abdominal Aortic Aneurysms","volume":"352","author":"Blankensteijn","year":"2005","journal-title":"N. Engl. J. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1001\/jama.2009.1426","article-title":"Outcomes Following Endovascular vs. Open Repair of Abdominal Aortic Aneurysm: A randomized trial","volume":"302","author":"Lederle","year":"2009","journal-title":"JAMA"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.jvs.2010.10.124","article-title":"A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysm in low- to moderate-risk patients","volume":"53","author":"Becquemin","year":"2011","journal-title":"J. Vasc. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"184","DOI":"10.21037\/cdt.2018.03.06","article-title":"Percutaneous access planning, techniques and considerations for endovascular aortic repair (EVAR)","volume":"8","author":"Vatakencherry","year":"2018","journal-title":"Cardiovasc. Diagn. Ther."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/S0741-5214(02)75454-2","article-title":"Endovascular suture versus cutdown for endovascular aneurysm repair: A prospective randomized pilot study","volume":"38","author":"Torsello","year":"2003","journal-title":"J. Vasc. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1038\/s41572-018-0030-7","article-title":"Abdominal aortic aneurysms","volume":"4","author":"Sakalihasan","year":"2018","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Banceu, C.M., Gurzu, S., Satala, C.-B., Ghiga, D., Neamtu, M.H., Voth, V., Liebrich, M., and Suciu, H. (2023). Histopathological Gap in Aortic Diseases: A Prospective Analysis. Int. J. Mol. Sci., 24.","DOI":"10.3390\/ijms242015470"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"47","DOI":"10.5114\/pjr.2023.124682","article-title":"Suture-mediated closure devices for percutaneous endovascular abdominal aneurysm repair","volume":"88","author":"Szpotan","year":"2023","journal-title":"Pol. J. Radiol."},{"key":"ref_17","first-page":"281","article-title":"Percutaneous repair of abdominal aortic aneurysm using the AneuRx stent graft and the percutaneous vascular surgery device","volume":"55","author":"Howell","year":"2002","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1583\/11-342.1","article-title":"A Meta-Analysis of Outcome after Percutaneous Endovascular Aortic Aneurysm Repair using Different Size Sheaths","volume":"18","author":"Georgiadis","year":"2011","journal-title":"J. Endovasc. Ther."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.ejvs.2010.02.001","article-title":"Percutaneous Access for Endovascular Aneurysm Repair: A Systematic Review","volume":"39","author":"Malkawi","year":"2010","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1016\/j.jvs.2013.10.101","article-title":"A multicenter, randomized, controlled trial of totally percutaneous access versus open femoral exposure for EVAR (the PEVAR trial)","volume":"59","author":"Nelson","year":"2014","journal-title":"J. Vasc. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2535","DOI":"10.1097\/JS9.0000000000002233","article-title":"Comparison of percutaneous versus cutdown access in patients after endovascular abdominal aortic repair: A randomized controlled trial (SWEET-EVAR trial)","volume":"111","author":"Zhou","year":"2025","journal-title":"Int. J. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.jvs.2019.03.040","article-title":"Cost-minimization study of the percutaneous approach to endovascular aortic aneurysm repair","volume":"71","author":"Hong","year":"2020","journal-title":"J. Vasc. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.jvs.2016.08.090","article-title":"Factors that affect cost and clinical outcome of endovascular aortic repair for abdominal aortic aneurysm","volume":"65","author":"Harris","year":"2017","journal-title":"J. Vasc. Surg."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1583\/08-2622.1","article-title":"Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors","volume":"16","author":"Eisenack","year":"2009","journal-title":"J. Endovasc. Ther."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"414","DOI":"10.4300\/JGME-D-22-00480.1","article-title":"Narrative Reviews: Flexible, Rigorous, and Practical","volume":"14","author":"Sukhera","year":"2022","journal-title":"J. Grad. Med. Educ."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1007\/s00270-013-0593-3","article-title":"The Preclose Technique in Percutaneous Endovascular Aortic Repair: A Systematic Literature Review and Meta-analysis","volume":"36","author":"Jaffan","year":"2013","journal-title":"J. Cardiovasc. Interv. Radiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1177\/11297298251342871","article-title":"Ultrasound-guided Femoseal\u00ae vascular closure device in antegrade common femoral artery puncture","volume":"27","author":"Oddi","year":"2025","journal-title":"J. Vasc. Access"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00270-025-04040-8","article-title":"Experience with a Large-Bore Vascular Closure Device in Patients Undergoing Percutaneous Endovascular Aneurysm Repair (EVAR): A Multicentre Study","volume":"48","author":"Michiels","year":"2025","journal-title":"Cardiovasc. Interv. Radiol."},{"key":"ref_30","first-page":"e48092","article-title":"A Comparative Analysis of the Early and Late Complication Rates and the Effect of Calcification on the Efficacy of MANTA and ProGlide Vascular Closure Devices","volume":"15","author":"Hakeem","year":"2023","journal-title":"Cureus"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/j.jvs.2018.05.019","article-title":"A systematic review of vascular closure devices for femoral artery puncture sites","volume":"68","author":"Noori","year":"2018","journal-title":"J. Vasc. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1583\/11-3621.1","article-title":"Short- and Midterm Results of the Fascia Suture Technique for Closure of Femoral Artery Access Sites After Endovascular Aneurysm Repair","volume":"18","author":"Lehti","year":"2011","journal-title":"J. Endovasc. Ther."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.ejvs.2010.11.020","article-title":"Fascial Closure Following Percutaneous Endovascular Aneurysm Repair","volume":"41","author":"Harrison","year":"2010","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jvs.2020.04.504","article-title":"Outcomes of routine use of percutaneous access with large-bore introducer sheaths (>21F Outer Diameter) during endovascular aneurysm repair","volume":"73","author":"Melloni","year":"2020","journal-title":"J. Vasc. Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1016\/j.jvs.2015.07.072","article-title":"Outcomes of total percutaneous endovascular aortic repair for thoracic, fenestrated, and branched endografts","volume":"62","author":"Oderich","year":"2015","journal-title":"J. Vasc. Surg."},{"key":"ref_36","unstructured":"(2026, May 09). Overview of Perclose ProGlide|Abbott. Available online: https:\/\/www.cardiovascular.abbott\/us\/en\/hcp\/products\/peripheral-intervention\/vessel-closure\/perclose-proglide-suture-mediated-closure-system\/overview.html."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1016\/j.jvs.2007.01.050","article-title":"Total percutaneous access for endovascular aortic aneurysm repair (\u201cPreclose\u201d technique)","volume":"45","author":"Lee","year":"2007","journal-title":"J. Vasc. Surg."},{"key":"ref_38","unstructured":"(2026, May 09). MANTA\u00ae Vascular Closure Device|US|Teleflex. Available online: https:\/\/teleflex.com\/usa\/en\/product-areas\/interventional\/vascular-access-closure\/manta-vascular-closure-device\/index.html."},{"key":"ref_39","unstructured":"(2026, May 09). Prostar XL Percutaneous Vascular Surgical System|Abbott. Available online: https:\/\/www.cardiovascular.abbott\/us\/en\/hcp\/products\/peripheral-intervention\/vessel-closure\/prostar-xl-percutaneous-vascular-surgical-system.html."},{"key":"ref_40","unstructured":"Moore, W.S., and Ahn, S.S. (2011). Arterial Closure Devices. Endovascular Surgery, W.B. Saunders. [4th ed.]."},{"key":"ref_41","unstructured":"(2026, May 09). Perclose ProStyle Suture-Mediated Closure System Overview|Abbott. Available online: https:\/\/www.cardiovascular.abbott\/int\/en\/hcp\/products\/peripheral-intervention\/vessel-closure\/perclose-prostyle-suture-mediated-closure-system\/overview.html."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.carrev.2016.11.004","article-title":"A systematic review on the safety of Prostar XL versus ProGlide after TAVR and EVAR","volume":"18","author":"Maniotis","year":"2017","journal-title":"Cardiovasc. Revasc. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.jvs.2017.12.052","article-title":"Successful percutaneous access for endovascular aneurysm repair is significantly cheaper than femoral cutdown in a prospective randomized trial","volume":"68","author":"Uhlmann","year":"2018","journal-title":"J. Vasc. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.avsg.2024.02.016","article-title":"Cutdown is Associated with Higher 30-day Unplanned Readmissions and Wound Complications than Percutaneous Access for EVAR","volume":"106","author":"Read","year":"2024","journal-title":"Ann. Vasc. Surg."},{"key":"ref_45","first-page":"889","article-title":"Italian Percutaneous EVAR (IPER) Registry: Outcomes of 2381 percutaneous femoral access sites\u2019 closure","volume":"56","author":"Pratesi","year":"2015","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_46","first-page":"132","article-title":"Multicenter real-life study on access-related outcomes after EVAR: Percutaneous is the way","volume":"29","author":"Melani","year":"2022","journal-title":"Ital. J. Vasc. Endovasc. Surg."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1016\/j.jvs.2019.01.077","article-title":"Locoregional anesthesia is associated with lower 30-day mortality than general anesthesia in patients undergoing endovascular repair of ruptured abdominal aortic aneurysm","volume":"70","author":"Bennett","year":"2019","journal-title":"J. Vasc. Surg."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Tay, S., Zaghloul, M.S., Shafqat, M., Yang, C., Desai, K.A., De Silva, G., Sanchez, L.A., and Zayed, M.A. (2022). Totally percutaneous endovascular repair for ruptured abdominal aortic aneurysms. Front. Surg., 9.","DOI":"10.3389\/fsurg.2022.1040929"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1016\/j.jvs.2013.05.028","article-title":"Femoral artery calcification as a determinant of success for percutaneous access for endovascular abdominal aortic aneurysm repair","volume":"58","author":"Manunga","year":"2013","journal-title":"J. Vasc. Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"118","DOI":"10.23736\/S0392-9590.22.04799-X","article-title":"Predictors of percutaneous access-related complications in aortic endovascular procedures: \u2018real-world\u2019 insights and a comparison to open access","volume":"41","author":"Gradinariu","year":"2022","journal-title":"Int. Angiol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.jvs.2011.12.042","article-title":"Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter","volume":"55","author":"Bensley","year":"2012","journal-title":"J. Vasc. Surg."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1177\/0003319716646681","article-title":"Single-Center Experience Following the Introduction of a Percutaneous Endovascular Aneurysm Repair First Approach","volume":"68","author":"Ashrafi","year":"2016","journal-title":"Angiology"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jvs.2012.07.050","article-title":"Predicting the learning curve and failures of total percutaneous endovascular aortic aneurysm repair","volume":"57","author":"Bechara","year":"2013","journal-title":"J. Vasc. Surg."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.avsg.2011.11.026","article-title":"Selective Use of Percutaneous Endovascular Aneurysm Repair in Women Leads to Fewer Groin Complications","volume":"26","author":"Zayed","year":"2012","journal-title":"Ann. Vasc. Surg."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jvs.2019.06.105","article-title":"Systematic review and meta-analysis of sex differences in outcomes after endovascular aneurysm repair for infrarenal abdominal aortic aneurysm","volume":"71","author":"Liu","year":"2020","journal-title":"J. Vasc. Surg."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"47920","DOI":"10.31083\/RCM47920","article-title":"Sex Differences in Outcomes After Endovascular Abdominal Aortic Aneurysm Repair: A Systematic Review and Narrative Synthesis","volume":"27","author":"Marzano","year":"2026","journal-title":"Rev. Cardiovasc. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jss.2019.02.011","article-title":"Outcomes and Cost Comparison of Percutaneous Endovascular Aortic Repair versus Endovascular Aortic Repair With Open Femoral Exposure","volume":"240","author":"Thurston","year":"2019","journal-title":"J. Surg. Res."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Mathisen, S.R., and Berge, S.T. (2026). A seven-year single-center experience with large-bore percutaneous closure in endovascular aneurysm repair. Vascular, online ahead of print.","DOI":"10.1177\/17085381261429288"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1177\/15266028221133694","article-title":"Feasibility and Cost Analysis of Ambulatory Endovascular Aneurysm Repair","volume":"31","author":"Naiem","year":"2022","journal-title":"J. Endovasc. Ther."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jvs.2013.06.076","article-title":"Ambulatory percutaneous endovascular abdominal aortic aneurysm repair","volume":"59","author":"Dosluoglu","year":"2014","journal-title":"J. Vasc. Surg."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"oa.24-00129","DOI":"10.3400\/avd.oa.24-00129","article-title":"The practice of percutaneous EVAR under local anesthesia","volume":"18","author":"Kameda","year":"2025","journal-title":"Ann. Vasc. Dis."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"455","DOI":"10.59958\/hsf.6665","article-title":"Percutaneous versus Cutdown Access for Endovascular Aortic Repair","volume":"26","author":"Altoijry","year":"2023","journal-title":"Heart Surg. Forum"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2147\/VHRM.S210593","article-title":"Comparison of perioperative costs with fast-track vs. standard endovascular aneurysm repair","volume":"15","author":"Krajcer","year":"2019","journal-title":"Vasc. Health Risk Manag."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.avsg.2020.04.068","article-title":"Underutilization of Nonopioid Pain Medication in Patients Undergoing Abdominal Aortic Aneurysm Repair","volume":"68","author":"Phair","year":"2020","journal-title":"Ann. Vasc. Surg."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"626","DOI":"10.3892\/etm.2022.11563","article-title":"Comparison of percutaneous and cutdown access-related minor complications after endovascular aortic repair","volume":"24","author":"Rebelo","year":"2022","journal-title":"Exp. Ther. Med."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"\u0136\u012bsis, K., Krievi\u0146\u0161, D., Na\u0161kovi\u010da, K., Gedi\u0146\u0161, M., \u0160avlovskis, J., Ez\u012bte, N., Lietuvietis, E., and Zari\u0146\u0161, K. (2012). Quality of Life After Endovascular Abdominal Aortic Aneurysm Repair: Nellix Sac-Anchoring Endoprosthesis Versus Open Surgery. Medicina, 48.","DOI":"10.3390\/medicina48060042"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.jvs.2017.12.064","article-title":"Local anesthesia for percutaneous endovascular abdominal aortic aneurysm repair is associated with fewer pulmonary complications","volume":"68","author":"Farber","year":"2018","journal-title":"J. Vasc. Surg."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"20140735","DOI":"10.1259\/bjr.20140735","article-title":"Endovascular aneurysm repair with the Ovation TriVascular Stent Graft System utilizing a predominantly percutaneous approach under local anaesthesia","volume":"88","author":"Ioannou","year":"2015","journal-title":"Br. J. Radiol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.avsg.2015.12.008","article-title":"A novel anesthetic technique for PEVAR","volume":"34","author":"Harlin","year":"2016","journal-title":"Ann. Vasc. Surg."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1016\/j.jvs.2007.12.029","article-title":"Midterm outcomes of femoral arteries after percutaneous EVAR using the Preclose technique","volume":"47","author":"Lee","year":"2008","journal-title":"J. Vasc. Surg."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1177\/1708538116639201","article-title":"Percutaneous access for endovascular aortic aneurysm repair: A systematic review and meta-analysis","volume":"24","author":"Hajibandeh","year":"2016","journal-title":"Vascular"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Liang, Z., Huang, Z., Wu, M., Lin, L., Chen, B., Yin, S., Li, H., Quan, J., Liang, W., and Huang, X. (2025). Comparison of percutaneous vs. cutdown access for endovascular aortic repair in the treatment of type B aortic dissection: A meta-analysis. Front. Cardiovasc. Med., 12.","DOI":"10.3389\/fcvm.2025.1673817"},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Cho, S., Kim, H., and Joh, J. (2026). Digital Twin and Artificial Intelligence Technologies to Assess the Type IA Endoleak. Bioengineering, 13.","DOI":"10.3390\/bioengineering13010001"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/16\/6381\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:22:33Z","timestamp":1787055753000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/16\/6381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":73,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["jcm15166381"],"URL":"https:\/\/doi.org\/10.3390\/jcm15166381","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,18]]}}}