A second case-based discussion also took place Monday evening, focusing on EVAR tips and tricks to handle unfavourable anatomy, honing in specifically on issues with access, arch, target vessels, and previous repair.
Monday’s IDEAS expert round table included four presentations on pararenal AAA. P. Vikatmaa defined hostile necks and argued his case for why hostile neck AAA should undergo open repair, including evidence from the 2019’s AAA guidelines and an analysis of the subsequent results since their publication. C. Pena followed up with an often-contrasting presentation outlining why FEVAR should be the first choice in most patients. M. de Haan built upon the previous two presenters’ talks with a lecture outlining the limitations and common contraindications of FEVAR, as well giving options in cases with FEVAR complications. A. Zimmermann deviated slightly for the last presentation, focusing on CHEVAR and his conviction that it should never be used unless there is no other option. This session concluded, as all ERTs do, with an extensive panel discussion based on questions from both the moderators and the audience.