[Endovascular repair of aortic aneurysm a paradigmatic shift].

The evolution of endovascular aortic repair (EVAR) is rapid and global. The aim is to replace open surgery as a life-saving treatment. According to randomised controlled studies, abdominal EVAR is a better option than open repair in terms of safety and efficacy in the short run. However, the overall survival in EVAR patients with severe morbidity is not influenced since mortality in this group is mainly unrelated to the aneurysm. Endovascular repair is also a solid alternative in thoracic pathologies and aortic ruptures. Patient selection and follow-up in EVAR is mainly governed by vascular imaging, especially 3-D CT reconstructions. There is a need for an increased number of endovascular specialists in Denmark since an increasing number of patients are suitable for EVAR treatment.