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ns for a secondary intervention. Secondary interventions did not adversely affect long-term overall survival after EVAR. Secondary intervention rates are still considerable after EVAR. Endograft kinking/outflow obstruction and endoleak type II are the most common indications for a secondary intervention. Secondary interventions did not adversely affect long-term overall survival after EVAR. There is no consensus on the treatment of blunt vertebral artery injuries, and studies are limited to small case series. We assessed the natural his