EVAR has a significant effect on aortoiliac tortuosity. Despite the reduction of aortoiliac tortuosity after the insertion of a stent graft, TI may serve as a predictor of iliac limb complications after EVAR.

Increased engagement in the common iliac artery following standard EVAR reduces the risks of limb complications. A clinical guide utilization of more than 70% of the total length of common iliac artery could be used as this was associated with a significantly lower rate of iliac limb complications following standard EVAR.

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