LEARNING POINTS
1. Recognition and Management of Rare Complications in EVAR: This report highlights the occurrence of endograft collapse, an uncommon but serious complication following EVAR. Understanding the signs, such as acute limb ischemia, and knowing the potential need for urgent treatment, such as surgical intervention, are crucial for managing patient outcomes effectively.
2. Significance of Anatomical and Procedural Features: The paper emphasizes that anatomical (severe aortic neck angulation) and procedural features (endoleak repairs or slight oversizing) can contribute to the risk of endograft collapse. These factors should be carefully considered during pre-operative planning and post-operative monitoring to mitigate risks
3. Importance of Long-term Follow-up: These two cases demonstrate that the importance of long-term follow-up to monitor for complications and ensure patient safety post-EVAR is still mandatory: moreover, present experience suggests the potential benefit of a prospective multicenter registry to better understand and manage rare complications like endograft collapse.