When EVAR fails: does FEVAR deliver?

In this Critical Issues 2026 interview for PVI online, Dr. Marc Schermerhorn discusses the management of failed EVAR and the role of FEVAR as a secondary strategy, comparing outcomes with primary FEVAR procedures. 

He highlights why post-EVAR FEVAR cases tend to show less favourable long-term results, with more frequent aneurysm sac growth compared to primary FEVAR, and explores the possible mechanisms behind these findings.

The interview also focuses on technically demanding situations such as aortic tortuosity or short main bodies, with practical tips and tricks to help optimise procedural success in challenging anatomies.

A closer look at why outcomes differ... and how to improve success.