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Mastering Endovascular Techniques Chapter 46 Introduction to Endografts for Infrarenal AAAs This video provides an overview of Endovascular Aneurysm Repair (EVAR), tracing its evolution from the pioneering hand-made devices of the 1980s to the sophisticated commercial systems used today. It outlines the fundamental anatomy of endografts, which consist of a supportive metallic skeleton and a synthetic fabric cover, delivered through specialised hydrophilic sheaths to ensure safe arterial access. The author emphasises that clinical success depends heavily on strict adherence to anatomical criteria, such as specific vessel diameters and angles, which are meticulously calculated during preoperative CT planning. Ultimately, the source serves as a technical and historical guide, highlighting how the integration of advanced materials and engineering has transformed a visionary experimental concept into a primary, minimally invasive standard of care for aortic disease.