Background: Most neck challenges comes from short neck which is consider the main exclusion from
standard EVAR treatment. ChEVAR and fEVAR are the most common solutions but it requires
special skills and long waiting time for fEVAR. Also management of type 1 endoleak
is the most challenging leak to deal with. The emerging technology with endoanchores
brought reasonable solution to deal with short neck using standard EVAR and to treat
type 1 endoleak. Method(s): We will review the endoanchores registry and our experience in Saudi in using endoanchores
as prophylactic to prevent and as therapeutic to treat type 1 endoleak. Result(s): The result from endoanchores registry and our experience is very promising. Conclusion(s): Endoanchores can be used as prophylactic in challenge neck anatomy to prevent trype
1 endoleak and as therapeutic to treat type 1 endoleak.