Endovascular aneurysm repair

What we have shown, and you know there's actually a 2025 meta-analysis that included almost 8,000 patients from nine studies, did show that the comparison of procedural time and fluoroscopy time were shorter for those that did do the angiographic simulator training.

So I think we do have those papers to fall back on.

There's other things published outside of IR looking at EVARs and procedure time as well as neuro IR procedures, which also have shown similar things in terms of reducing fluoroscopy time and procedure time.

So I think those are the things we can lean on and everybody's you know, focused on good patient care, good safety outcomes.

And I think we definitely can advocate that these can help with safety, I think, making patients safer and avoiding some complications.

You have to stick to the mission.

Now, a massive shift in AAA management over the last two decades has been the advent of EVAR, endovascular aneurysm repair.

Such a game changer.

It is.

Instead of a massive open incision, we deploy a covered stent graft from the groin entirely inside the vessel.

It is amazing technology, but it comes with a unique set of complications.

The most common complication requiring reoperation after an EVAR is an endoleak, occurring in about 15% of cases.

If you were listening, think of an EVAR like sliding a brand new watertight pipe inside an old, dilated, leaky pipe.