Endovascular Aortic Surgery is a minimally invasive procedure for treating Abdominal Aortic Aneurysm or AAA, a bulge that occurs in the wall of the large artery called the aorta. It happens due to a weak spot in the artery wall and, if not treated on time, can tear, causing major complications. The walls of the aorta are designed to handle the force of blood pressure, but conditions like high blood pressure, smoking, atherosclerosis, trauma, or injury can damage the walls leading to a balloon-like bulge called an aneurysm when it tears or bursts or even splits alongside the inside of aorta wall known as aortic dissection. This condition needs immediate surgical intervention.
Patients with Abdominal Aortic Aneurysm or AAA measuring more than 5 cm or growing further would need immediate Endovascular Aortic Surgery to prevent it from bursting. In case of a smaller aneurysm, your cardiologist may recommend medication to shrink its size and lower the risk of rupture.
During the procedure, your surgeon makes a smaller incision in the groin through which a thin, flexible tube called a catheter is inserted into the artery. The tube, along with the stent graft, is then guided by X-ray images is guided toward the aneurysm.
The stent is a tube-like structure made from thin metal mesh coated with a thin polyester fabric. The tube then collapses to narrow down to fit into the blood vessel, and as it reaches the aorta, it opens up and stays in place, allowing the blood to flow through it. It not only protects the aorta but also prevents aneurysms from bursting.
The surgeon removes the catheter after the procedure, and the incision is then closed with a small bandage.
Yes! It is done through a small incision in the groin.
The patient may experience some pain at the site of surgery, which will be managed with medicines.
Endovascular Aortic Surgery is performed by Vascular Surgeon.
Timely intervention through Endovascular Aortic Surgery prevents the rupture of an aneurysm, thus saving a life.
The recovery time depends on the patient's health history, current health, and other comorbid conditions. It may take up to a month or two to resume regular activities.