Clinical Challenges in Vascular Surgery: The Risk & Reality of EVAR Complications

Behind The Knife: The Surgery Podcast · Jul 10, 2025 · 26m

It’s 2 a.m. The on-call resident’s voice is shaky.

The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak.

There’s gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest.

Is it a rupture? A graft infection? An aortoenteric fistula? All of the above?

You’re the vascular surgeon, what do you do?

This episode dives deep into decision-making when EVAR fails, when infection strikes, and when the patient might not survive a definitive repair. Let’s talk about what happens when clinical textbooks meet real-world chaos.

Hosts:

· Christian…