[Endovascular management of abdominal aortic aneurysm: a critical analysis on the DREAM, EVAR 1 and EVAR 2 randomized controlled trials].

Fourteen years after its introduction in clinical practice and being subject to a large and widespread utilization, the endovascular management of the abdominal aortic aneurysm was evaluated through controlled randomized trials, to assess its efficacy facing the conventional open surgery. The results of these trials, recently published in the international literature, are the subject of a critical analysis by the author, who concludes that they are so significantly important that will probably influence the future, the indications and the range of utilization of the endovascular management of the abdominal aortic aneurysm.