BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAortic aneurysm repair - endovascularEVAR; Endovascular aneurysm repair - aorta; AAA repair - endovascular; Repair - aortic aneurysm - endovascularEndovascular abdominal aortic aneurysm (AAA) repair is surgery to repair a widened area in your aorta. This is called an aneurysm. The aorta is the large artery that carries blood from your heart to your belly, pelvis, and legs.An aortic aneurysm is when a part of this artery becomes too large or balloons outward. It occurs due to weakness in the wall of the artery.Aortic aneurysmAn aneurysm is an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel. A thoracic aortic aneury...Read Article Now Book Mark Article Description This procedure is done in an operating room, in the radiology department of the hospital, or in a catheterization lab. You will lie on a padded table. You may receive general anesthesia (you are asleep and pain-free) or epidural or spinal anesthesia. During the procedure, your surgeon will:General anesthesiaGeneral anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive the...Read Article Now Book Mark Article Make a small surgical cut near the groin, to find the femoral artery. Insert a thin, flexible tube (catheter) into the artery through the cut. Insert a stent (a metal coil) and a man-made (synthetic) graft along the catheter. Then use a dye to define the extent of the aneurysm. Use x-rays to guide the stent graft up into your aorta, to where the aneurysm is located. Next open the stent using a spring-like mechanism and attach it to the walls of the aorta. Your aneurysm will eventually shrink around it. Use x-rays and dye again to make sure the graft is in the right place and your aneurysm is not bleeding inside your body. Remove the catheter and close the surgical cut where the catheter was inserted. Why the Procedure Is Performed Endovascular aneurysm repair (EVAR) is done because your aneurysm is very large, growing quickly, or is leaking or bleeding.Related video goes here for no-HTML5 browsersYou may have an AAA that is not causing any symptoms or problems. Your health care provider may have found this problem when you had an ultrasound or CT scan for another reason. There is a risk that this aneurysm may burst (rupture) if you do not have surgery to repair it. However, surgery to repair the aneurysm may also be risky. In such cases, EVAR is an option.UltrasoundUltrasound uses high-frequency sound waves to make images of organs and structures inside the body.Read Article Now Book Mark Article CT scanA computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...Read Article Now Book Mark Article You and your provider must decide whether the risk of having this surgery is smaller than the risk for rupture if you do not have surgery to repair the problem. The provider is more likely to recommend that you have surgery if the aneurysm is:Larger (about 2 inches or 5 centimeters) Growing more quickly (a little less than 1/4 inch or 0.5 centimeter over the last 6 to 12 months) EVAR has a lower risk of developing complications compared to open surgery. Your provider is more likely to suggest this type of repair if you have other serious medical problems or are an older person. Risks Risks of any surgery are:Blood clots in the legs that may travel to the lungs Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...Read Article Now Book Mark Article Breathing problems Breathing problemsBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airRead Article Now Book Mark Article Infection, including in the lungs, urinary tract, and belly Heart attack or stroke Heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...Read Article Now Book Mark Article StrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...Read Article Now Book Mark Article Reactions to medicines Risks of this surgery are:Bleeding around the graft that needs more surgery Bleeding before or after procedure Blockage of the stent Damage to a nerve, causing weakness, pain, or numbness in the leg Kidney failure Kidney failureAn erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at ...Read Article Now Book Mark Article Poor blood supply to your legs, your kidneys, or other organs Problems getting or keeping an erection Surgery is not successful and you need an open surgery The stent graft slips The graft leaks and requires open surgery Death Before the Procedure Your provider will examine you and order tests before you have surgery.Always tell your provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.If you are a smoker, you should stop. Your provider can help. Here are other things you will need to do before your surgery: About two weeks before your surgery, you will visit your provider to make sure any medical problems, such as diabetes, high blood pressure, and heart or lung problems, are well treated. DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.Read Article Now Book Mark Article High blood pressureBlood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...Read Article Now Book Mark Article You also may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), and naproxen (Aleve, Naprosyn). Ask which drugs you should still take on the day of your surgery. Always tell your provider if you get a cold, flu, fever, herpes breakout, or other illness before your surgery. The evening before your surgery:DO NOT drink anything after midnight, including water. On the day of your surgery:Take any medicines your doctor told you to take with a small sip of water. You will be told when to arrive at the hospital. After the Procedure Most people stay in the hospital for a few days after this surgery, depending on the type of procedure they had. Most often, the recovery from this procedure is faster and with less pain than with open surgery. Also, you will most likely be able to go home sooner. During a hospital stay, you may:Be in the intensive care unit (ICU), where you will be watched very closely at first Have a urinary catheter Urinary catheterA urinary catheter is a tube placed in the body to drain and collect urine from the bladder.Read Article Now Book Mark Article Be given medicines to thin your blood Be encouraged to sit on the side of your bed and then walk Wear special stockings to prevent blood clots in your legs Receive pain medicine into your veins or into the space that surrounds your spinal cord (epidural) Outlook (Prognosis) Recovery after endovascular repair is quick in most cases.You will need to be watched and checked regularly to make sure your repaired aortic aneurysm is not leaking blood.Open ReferencesReferencesBraverman AC, Schemerhorn M. Diseases of the aorta. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 42.Brinster CJ, Sternbergh WC. Endovascular aneurysm repair techniques. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 74.Fanelli F, Falcone GM. Endovascular aortic repair. In: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, eds. Image-Guided Interventions. 3rd ed. Philadelphia, PA: Elsevier; 2021:chap 20.AllVideoImagesTogAbdominal aortic aneurysmAnimation Related video goes here for no-HTML5 browsersAbdominal aortic aneurysm - Animation Your blood vessels are the transport system that carries blood to and from your heart, to the rest of your body. Usually, everything runs pretty smoothly with this system, but sometimes there can be a problem. For example, one of the large blood vessels that supplies blood to your abdomen and lower body can swell up or bulge. This bulge is called an abdominal aortic aneurysm, and it can be pretty serious if it breaks open, or ruptures. Let's talk about abdominal aortic aneurysm. This is the descending aorta, one of the large blood vessels that sends blood to your abdomen and legs. Over a period of many years, this blood vessel can start to bulge. Although doctors aren't sure exactly what causes an aneurysm, they do know that it's more common in males over 60 and people who are overweight, who smoke, or who have high blood pressure or cholesterol. Eventually, if not treated, the aneurysm can pop open or rupture, and spill blood into your abdominal cavity or into the wall of the artery. If an aneurysm ruptures, it is considered a true medical emergency. So, how do you find out if you have an aneurysm? You may not realize that you have one, because often aneurysms don't cause any symptoms until they rupture. An imaging test like a CT scan or ultrasound may help in finding a suspected aneurysm. If it does break open, you may feel severe pain in your stomach. That pain may spread to your groin, buttocks, or legs. You could also feel sick to your stomach, have clammy skin, and your heart may beat faster than normal. If you have any of these symptoms, see your doctor, who can examine you. Your doctor may also recommend an imaging test to see for sure if you have an aneurysm. Treatments for aneurysms vary depending on how severe the aneurysm is. If you're not having symptoms, and your aneurysm is small and hasn't broken open, your doctor may suggest just checking it every six months to make sure it doesn't get bigger. If it's bigger than 2 inches, you'll probably need to have surgery. The goal is to perform surgery before complications and symptoms develop. The surgeon will replace the damaged, bulging section of blood vessel with a section of man-made vessel, commonly called a graft. It's better to avoid getting an aneurysm than to have to treat it. Eat a healthy diet, watch your cholesterol and blood pressure levels, and quit smoking to help prevent an aneurysm from forming in the first place. Men who are over the age of 65 and have ever smoked or who have a close relative who's had an abdominal aortic aneurysm should have one screening ultrasound done to check for an abdominal aortic aneurysm. If you're having any symptoms of an abdominal aneurysm, like severe pain in your belly or back, it's very important that you get medical help right away. Go to the emergency room or call your health care provider for immediate help. Small aneurysms are easy to treat with surgery. But once they get larger and rupture, they can be life threatening.Abdominal aortic aneurysmAnimation Related video goes here for no-HTML5 browsersAbdominal aortic aneurysm - Animation Your blood vessels are the transport system that carries blood to and from your heart, to the rest of your body. Usually, everything runs pretty smoothly with this system, but sometimes there can be a problem. For example, one of the large blood vessels that supplies blood to your abdomen and lower body can swell up or bulge. This bulge is called an abdominal aortic aneurysm, and it can be pretty serious if it breaks open, or ruptures. Let's talk about abdominal aortic aneurysm. This is the descending aorta, one of the large blood vessels that sends blood to your abdomen and legs. Over a period of many years, this blood vessel can start to bulge. Although doctors aren't sure exactly what causes an aneurysm, they do know that it's more common in males over 60 and people who are overweight, who smoke, or who have high blood pressure or cholesterol. Eventually, if not treated, the aneurysm can pop open or rupture, and spill blood into your abdominal cavity or into the wall of the artery. If an aneurysm ruptures, it is considered a true medical emergency. So, how do you find out if you have an aneurysm? You may not realize that you have one, because often aneurysms don't cause any symptoms until they rupture. An imaging test like a CT scan or ultrasound may help in finding a suspected aneurysm. If it does break open, you may feel severe pain in your stomach. That pain may spread to your groin, buttocks, or legs. You could also feel sick to your stomach, have clammy skin, and your heart may beat faster than normal. If you have any of these symptoms, see your doctor, who can examine you. Your doctor may also recommend an imaging test to see for sure if you have an aneurysm. Treatments for aneurysms vary depending on how severe the aneurysm is. If you're not having symptoms, and your aneurysm is small and hasn't broken open, your doctor may suggest just checking it every six months to make sure it doesn't get bigger. If it's bigger than 2 inches, you'll probably need to have surgery. The goal is to perform surgery before complications and symptoms develop. The surgeon will replace the damaged, bulging section of blood vessel with a section of man-made vessel, commonly called a graft. It's better to avoid getting an aneurysm than to have to treat it. Eat a healthy diet, watch your cholesterol and blood pressure levels, and quit smoking to help prevent an aneurysm from forming in the first place. Men who are over the age of 65 and have ever smoked or who have a close relative who's had an abdominal aortic aneurysm should have one screening ultrasound done to check for an abdominal aortic aneurysm. If you're having any symptoms of an abdominal aneurysm, like severe pain in your belly or back, it's very important that you get medical help right away. Go to the emergency room or call your health care provider for immediate help. Small aneurysms are easy to treat with surgery. But once they get larger and rupture, they can be life threatening.Related Information Abdominal aortic aneurysm(Condition)Atherosclerosis(Condition)Thoracic aortic aneurysm(Condition)Abdominal CT scan(Medical Test)Abdominal MRI scan(Medical Test)Aortic angiography(Medical Test)Stent(Surgery)Aortic aneurysm repair - endovascular - discharge(Discharge)Cholesterol - InDepth(In-Depth)Smoking - InDepth(In-Depth) Review Date: 10/18/2022 Reviewed By: Deepak Sudheendra, MD, MHCI, RPVI, FSIR, Founder and CEO, 360 Vascular Institute, with an expertise in Vascular Interventional Radiology & Surgical Critical Care, Columbus, OH. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited. © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.
Aortic aneurysm repair - endovascularEVAR; Endovascular aneurysm repair - aorta; AAA repair - endovascular; Repair - aortic aneurysm - endovascularEndovascular abdominal aortic aneurysm (AAA) repair is surgery to repair a widened area in your aorta. This is called an aneurysm. The aorta is the large artery that carries blood from your heart to your belly, pelvis, and legs.An aortic aneurysm is when a part of this artery becomes too large or balloons outward. It occurs due to weakness in the wall of the artery.Aortic aneurysmAn aneurysm is an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel. A thoracic aortic aneury...Read Article Now Book Mark Article Description This procedure is done in an operating room, in the radiology department of the hospital, or in a catheterization lab. You will lie on a padded table. You may receive general anesthesia (you are asleep and pain-free) or epidural or spinal anesthesia. During the procedure, your surgeon will:General anesthesiaGeneral anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive the...Read Article Now Book Mark Article Make a small surgical cut near the groin, to find the femoral artery. Insert a thin, flexible tube (catheter) into the artery through the cut. Insert a stent (a metal coil) and a man-made (synthetic) graft along the catheter. Then use a dye to define the extent of the aneurysm. Use x-rays to guide the stent graft up into your aorta, to where the aneurysm is located. Next open the stent using a spring-like mechanism and attach it to the walls of the aorta. Your aneurysm will eventually shrink around it. Use x-rays and dye again to make sure the graft is in the right place and your aneurysm is not bleeding inside your body. Remove the catheter and close the surgical cut where the catheter was inserted. Why the Procedure Is Performed Endovascular aneurysm repair (EVAR) is done because your aneurysm is very large, growing quickly, or is leaking or bleeding.Related video goes here for no-HTML5 browsersYou may have an AAA that is not causing any symptoms or problems. Your health care provider may have found this problem when you had an ultrasound or CT scan for another reason. There is a risk that this aneurysm may burst (rupture) if you do not have surgery to repair it. However, surgery to repair the aneurysm may also be risky. In such cases, EVAR is an option.UltrasoundUltrasound uses high-frequency sound waves to make images of organs and structures inside the body.Read Article Now Book Mark Article CT scanA computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...Read Article Now Book Mark Article You and your provider must decide whether the risk of having this surgery is smaller than the risk for rupture if you do not have surgery to repair the problem. The provider is more likely to recommend that you have surgery if the aneurysm is:Larger (about 2 inches or 5 centimeters) Growing more quickly (a little less than 1/4 inch or 0.5 centimeter over the last 6 to 12 months) EVAR has a lower risk of developing complications compared to open surgery. Your provider is more likely to suggest this type of repair if you have other serious medical problems or are an older person. Risks Risks of any surgery are:Blood clots in the legs that may travel to the lungs Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...Read Article Now Book Mark Article Breathing problems Breathing problemsBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airRead Article Now Book Mark Article Infection, including in the lungs, urinary tract, and belly Heart attack or stroke Heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...Read Article Now Book Mark Article StrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...Read Article Now Book Mark Article Reactions to medicines Risks of this surgery are:Bleeding around the graft that needs more surgery Bleeding before or after procedure Blockage of the stent Damage to a nerve, causing weakness, pain, or numbness in the leg Kidney failure Kidney failureAn erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at ...Read Article Now Book Mark Article Poor blood supply to your legs, your kidneys, or other organs Problems getting or keeping an erection Surgery is not successful and you need an open surgery The stent graft slips The graft leaks and requires open surgery Death Before the Procedure Your provider will examine you and order tests before you have surgery.Always tell your provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.If you are a smoker, you should stop. Your provider can help. Here are other things you will need to do before your surgery: About two weeks before your surgery, you will visit your provider to make sure any medical problems, such as diabetes, high blood pressure, and heart or lung problems, are well treated. DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.Read Article Now Book Mark Article High blood pressureBlood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...Read Article Now Book Mark Article You also may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), and naproxen (Aleve, Naprosyn). Ask which drugs you should still take on the day of your surgery. Always tell your provider if you get a cold, flu, fever, herpes breakout, or other illness before your surgery. The evening before your surgery:DO NOT drink anything after midnight, including water. On the day of your surgery:Take any medicines your doctor told you to take with a small sip of water. You will be told when to arrive at the hospital. After the Procedure Most people stay in the hospital for a few days after this surgery, depending on the type of procedure they had. Most often, the recovery from this procedure is faster and with less pain than with open surgery. Also, you will most likely be able to go home sooner. During a hospital stay, you may:Be in the intensive care unit (ICU), where you will be watched very closely at first Have a urinary catheter Urinary catheterA urinary catheter is a tube placed in the body to drain and collect urine from the bladder.Read Article Now Book Mark Article Be given medicines to thin your blood Be encouraged to sit on the side of your bed and then walk Wear special stockings to prevent blood clots in your legs Receive pain medicine into your veins or into the space that surrounds your spinal cord (epidural) Outlook (Prognosis) Recovery after endovascular repair is quick in most cases.You will need to be watched and checked regularly to make sure your repaired aortic aneurysm is not leaking blood.Open ReferencesReferencesBraverman AC, Schemerhorn M. Diseases of the aorta. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 42.Brinster CJ, Sternbergh WC. Endovascular aneurysm repair techniques. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 74.Fanelli F, Falcone GM. Endovascular aortic repair. In: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, eds. Image-Guided Interventions. 3rd ed. Philadelphia, PA: Elsevier; 2021:chap 20.