Endovascular Aneurysm Repair Conversion Is an Increasingly Common Indication and Associated With Greater Operative Complexity but Improved Outcomes Over Time—Lessons Learned From an 18-year Experience

Although endovascular aneurysm repair (EVAR) reintervention is common, conversion (EVAR-c) to open aortic repair (OAR) is a less frequent event that can be associated with significant technical complexity and perioperative risk. There is a paucity of data highlighting the evolution of periprocedural results surrounding EVAR-c and changes in practice patterns, especially for referral centers that increasingly manage EVAR failures because of care...