Table 5.

Advantages and disadvantages of endovascular cardiac and aortic procedures.

	Advantages	Disadvantages
PCI + stenting	Percutaneous access; Local anesthesia; Do not require extracorporeal circulation; Ability to treat multiple lesions; Cost-effective, with rapid recovery and shorter hospitalizations.	X-ray exposure; Administration of contrast medium; Restricted indications for patients with a common trunk or triple-vessel disease; Dual antiplatelet therapy.
EVAR	Percutaneous access; Local anesthesia; Reduced operative times; Reduced blood loss; Less severe and shorter-lasting postoperative pain; Shorter hospital stays; Reduced risk of infection; Ability to treat high-risk patients.	Not all patients with an abdominal aortic aneurysm are candidates for EVAR; X-ray exposure; Administration of contrast medium; Risk of endoleak; May require additional procedures; Expensive procedure (the economic impact is, however, minimal, given the absence of the need for intensive care, fewer severe complications, shorter hospital stays, and a faster recovery); Risk of the graft moving out of position.
Simultaneous PCI + stenting and EVAR	Resolution of both coronary and abdominal aortic aneurysm issues in a single surgical session; Local anesthesia; Use of the same arterial access for both procedures; Shorter hospital stays; Cost-effective, with rapid recovery and shorter hospitalizations; Both specialists will be present in the operating room in case either condition complicates, allowing for a rapid intervention.	Longer operative times compared to the two separate procedures; Higher contrast dose and radiation exposure during a single procedure; A complication from PCI and stenting may necessitate rescheduling the EVAR; Selected patients.