Clinical Challenges in Vascular Surgery: The Risk & Reality of EVAR Complications

  • It’s 2 a.m. The on-call resident’s voice is shaky.
    The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak.
    There’s gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest.
    Is it a rupture? A graft infection? An aortoenteric fistula? All of the above?
    You’re the vascular surgeon, what do you do?

    This episode dives deep into decision-making when EVAR fails, when infection strikes, and when the patient might not survive a definitive repair. Let’s talk about what happens when clinical textbooks meet real-world chaos.

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants

Learning Objectives

  1. Understanding the clinical implications and management of late EVAR complications, including Type 1B endoleak and aortoenteric fistula.
  2. Exploring the decision-making process in critically ill patients with multiple comorbidities and infected aortic grafts.
  3. Comparing endovascular vs open surgical approaches in the setting of infected AAA, and when each is appropriate.
  4. Recognizing the role of multidisciplinary collaboration in complex vascular cases.
  5. Discussing the ethical considerations and goals-of-care planning in high-risk, potentially terminal vascular patients.
  6. Highlighting the importance of long-term surveillance after EVAR and the consequences of noncompliance.
Course summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit(s)™
  • 0.50 ANCC
  • 0.50 Attendance
  • 0.50 JA Credit - AH
    • 0.50 Approved for AMA PRA Category 1 Credit(s)™
Registration Opens: 
09/15/2025
Registration Expires: 
09/14/2027
Part of: 
Behind the Knife Podcast (2025)
Rating: 
0
Virtual, NC 27705
United States
  • Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center
  • Paul Haser -Division chief, Vascular Surgery, Brookdale Hospital Medical Center
  • Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center
  • Lucio Flores, Vascular surgery, Brookdale Hospital Medical Center
  • AMA PRA Category 1 Credit(s)
  • ANCC
  • Attendance
  • JA Credit - AH

Available Credit

  • 0.50 AMA PRA Category 1 Credit(s)™
  • 0.50 ANCC
  • 0.50 Attendance
  • 0.50 JA Credit - AH
    • 0.50 Approved for AMA PRA Category 1 Credit(s)™
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