Surgical management for access artery in the endovascular exclusion repair of aorta LIN Zhi-qi, WAN Heng , LIU Zheng-jun, et al. Department of Vascular Surgery and Ultrasonography, Nanfang Hospital , Southern Medical University, Guangzhou 510515, China Corresponding author: WAN Heng, E-mail: wanheng1212@yahoo.com.cn Abstract Objective To summarize the surgical management in the endovascular exclusion repair of aorta. Methods Recheck the clinical data of the 63 patients who underwent treatment of endovascular exclusion repair of aorta from January 2001 to December 2007. Result 57 in the all 63 patients choosed femoral artery as the access artery, and external iliac artery was choosed in the rest 6 cases. 38 cases administrated simple repair, 16 cases repaired with located shaping, 4 cases repaired with endarterectomy, 4 cases applied end-to-end anastomosis with excision part of the artery.1 case accepted prostheses replacement. 62 cases were succeed, 1 case died in the EVER procedure. In the all 62 cases, 1 case occurred pseudoaneurysm in the anastomosis, which cured by reoperation.2 cases occurred mild ischemia in the lower limb, which dignosed stenosis of anastomosis by DSA. The symptoms of ischemia was cured by medicine without operation. Conclusion Detailed evaluation before the operation, careful protection in the procedure, and appropriate management after operation are effective for prevention and cure the complications relative to access artery.