India's first single side access EVAR device implantation: A hope for patients with poor vascular access

Endovascular repair of abdominal aortic aneurysm has been the first choice of treatment over surgical repair if feasible due to many advantages such as short hospital stay, less peri-procedural complications and early recovery. Good bilateral vascular access with adequate sized arteries that are free of significant disease is essential for a successful EVAR. Endovascular repair has been deferred in as much as 40% of patients due to difficult vascular access. We present a patient who underwent percutaneous endovascular repair of a juxta renal abdominal aortic aneurysm using a unique single side access EVAR device who had severely diseased iliac arteries.