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= Indications = * 80% of infrarenal AAA are now done with EVAR * Open repair reserved for those with complex anatomy or coexisting disease processes preventing EVAR Relative contraindications * CKD (high contrast load) * Poor iliofemoral access Absolute contraindications * Connective tissue disorders * Infected aneurysms * IMA is primary intestinal circulation Requirements * Adequate iliofemoral access - patency, diameter, ?calcification/thrombus, tortuosity * Adequate seal zone proximally between graft and normal aorta - 10-15mm depending on device * Adequate seal zone distally, proximal to iliacs - 10-15mm dependent on device
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