Fast-Track Protocol for Endovascular Aneurysm Repair (EVAR) of Infrarenal Abdominal Aortic Aneurysms

Inclusion criteria * Patient diagnosed with infrarenal Abdominal Aortic Aneurysm (AAA) indicated for elective endovascular repair. * Patient diagnosed with Penetrating Aortic Ulcer (PAU) indicated for elective endovascular repair. * Patient resident in the Bologna metropolitan area OR able to remain within the area for at least 7 days post-procedure. * Patient with a cohabitant or caregiver available (cannot live alone) to ensure safety during the early post-discharge phase. * Signed informed consent specifically for local/locoregional anesthesia, the procedure and the specific fast-track pathway. * Common femoral arteries diameter \> 7 mm * Common femoral arteries free of severe calcification (\< 50% of vessel circumference), suitable for percutaneous closure device * Proximal aortic neck length \> 15 mm * Proximal aortic neck diameter \< 30 mm * Proximal aortic neck without severe angulation (\<60°) or circumferential thrombus \<50% Exclusion Criteria: * Patient resident outside the Bologna metropolitan area or unable to remain within the area for at least 7 days post-procedure. * Patient without a cohabitant or caregiver available * Common femoral arteries diameter \<7 mm * Common femoral arteries with severe calcification (\> 50% of vessel circumference), unsuitable for percutaneous closure device * Proximal aortic neck length \< 15 mm * Proximal aortic neck diameter \> 30 mm * Proximal aortic neck with severe angulation (\>60°) or circumferential thrombus \>50% * General anesthesia * Open conversion * Medical contraindication to local/locoregional anesthesia or patient refusal/inability to cooperate during the procedure. * Severe Chronic Kidney Disease (glomerular filtration rate \> 30 ml/min) requiring exclusively CO2 angiography * Ruptured or symptomatic aneurysms requiring emergency repair. * Clinical condition requiring intensive invasive monitoring (e.g., CVC, urinary catheter) prior to the procedure.