Endovascular surgery – operating from inside the blood vessel – is performed through tiny holes, rather than through large external incisions. It is an emerging alternative to open operations with very promising results. When done so, procedures can often result in smaller scars, less pain, faster recovery times and has improved outcomes over traditional open surgical methods.
Endovascular repair for abdominal aortic disease (EVAR) and thoracic aortic disease (TEVAR)
Our experts have access to more progressive future-generation stent-grafts allowing repair of most complex aortic pathologies using a minimally-invasive approach. X-ray and intravascular ultrasound are used to guide the delivery of a graft-covered stent within the aortic pathology, through a small incision in the groin. The recovery period is therefore usually very short.
The best method to repair an aneurysm depends upon several factors, including the location and shape of the aneurysm, as well as the physical condition of the patient.
You may be eligible for endovascular stent grafting if your aneurysm has not ruptured and the aneurysm is five centimeters or more in size. However, a carefully performed CT angiogram is usually necessary to see if one is eligible for this less-invasive operation.
Our physicians are recognized internationally for their extensive experience with surgical approaches for treating aneurysms.
The goals of aortic aneurysm treatment are to reduce the risk of complications from aneurysms. The major risk for untreated aneurysms is rupture, and this threat increases with aneurysm size. The decision to treat an aneurysm with surgery is determined by many factors, including:
- Presence of symptoms, including abdominal, or back pain, or pain in the groin or inner thigh
- Occurrence of rapid aneurysm growth (if the diameter of aneurysm is growing more than one centimeter per year)
- Development of an aortic dissection, which can be heralded by sudden, severe sharp tearing pain in the chest or back
- Age of the patient and the patient's overall medical condition
Each patient is evaluated, and aortic aneurysm treatment will be individualized for the patient's circumstances.