Clinical Research Directory

Inclusion Criteria: * Asymptomatic, infrarenal AAA that requires surgery with a high-risk profile of developing endoleak type II in line with the recommendations of Fabre et al:v * a patent IMA, with a luminal diameter at its origin \> 3 mm, OR * at least three pairs of patent lumbar arteries, or two pairs of lumbar arteries and a median sacral artery or an accessory renal artery. * Infrarenal neck according to the IFU of the EVAR device * Other aortic-iliac anatomical configuration suitable for EVAR according to the criteria of the EVAR device to be used * Patient having a life expectation of at least 2 years * Being older than 18 years * Willing and able to comply with the requirements of this clinical study Exclusion Criteria: * Patient not able or willing to give written Informed Consent * Patient undergoing emergency procedures * Patient undergoing EVAR for ruptured or symptomatic AAA, * Patient with a suprarenal AAA * Patient with an inflammatory AAA (more than minimal wall thickening) * Patient with an infrarenal neck unsuitable for endovascular fixation (including so called "hostile necks") or aortic-iliac anatomic configuration otherwise unsuitable for EVAR according to criteria of the device to be used * Patient in which a bilateral retroperitoneal incision is required for EVAR * Patient in which a sacrifice of both hypogastric arteries is required * Patient with anatomical variations, i.e. horseshoe-kidney, arteries requiring reimplantation * Patient in which the administration of contrast agent is not possible: proved, severe systemic reaction to contrast agent * Patient with active infection present * Patients scheduled for or having received an organ transplant * Patient with limited life expectation due to other illness (\<1 year) * Patient with non-iatrogenic bleeding diathesis * Patient with connective tissue disease * Women of child-bearing potential * Patients with evidence at completion angiogram during EVAR of a type Ia or type III endoleak persistent after balloon inflation