7798910002 Drashish@angioclinics.com
Dr.Ashish Ambhore1st floor Bhawani Chambers Ajni Square, Wardha road

EVAR

TREATMENTS

What is EVAR?

An aortic aneurysm is a bulge or dilatation in a section of the aorta, the body’s main arterywhich carries oxygen-rich blood from the heart to the rest of the body. Because the section with the aneurysm is overstretched and weak, it can burst. If the aorta bursts, it can cause serious bleeding that can quickly lead to death.

 

Aneurysms can form in any section of the aorta, but they are most common in the abdominal part. They can also happen in the upper thoracic aorta. Thoracic aortic aneurysms are also known as ascending or descending aortic aneurysms

Symptoms:

Most aortic aneurysms don’t cause symptoms. They are mostly detected during exams or tests done for other reasons. People who do have symptoms complain of abdomen, chest, or back pain and discomfort. In the worst case, an aneurysm can burst, or rupture. This causes severe pain and bleeding. It often leads to death within minutes to hours.

Diagnosis:

  • USG Doppler
  • CT angiography
  • MR angiography
  • Conventional angiography

 

Treatment

Surgical repair:

In this procedure, the vascular surgeon makes an incision in the abdomen or chest, and then replaces the weakened portion of the aorta with a graft. The graft is made of PTFE, a material that is stronger than the weakened aorta, allowing blood to pass through the vessel without causing a bulge. This is a major procedure and requires long hospital stay.

Endovascular repair by interventional Radiologist:

In this procedure the interventional radiologist cannulates one of the femoral artery and passes a wire across the aneurysm. Then deploys an expandable stent graft in the aneurysm.Once in place, blood flows through the stent graft and cannot enter the aneurysm. This is a short procedure usually takes 1.5–2.5 hours and most patients recover fast and can be discharged in 2-3 days.