“…Proximal extension with a fenestrated or branched EVAR device may be an alternative option, but, due to limited data, this method needs further evaluation. 10,11 Open conversion with device explantation is the treatment of choice for patients with a failing EVAS if they are deemed fit enough to undergo the intervention. 3,4 The Nellix devices are relatively easy to remove from the proximal neck as there is no active fixation; however, the balloon expandable stent grafts in the iliac arteries may be more challenging to remove and care must be taken to avoid intimal dissection.…”