Endovascular Aneurysm Repair (EVAR) is a minimally invasive procedure used to treat abdominal aortic aneurysms (AAA), a condition where the wall of the aorta weakens and bulges, posing a risk of rupture. This procedure offers a less invasive alternative to traditional open surgery, providing patients with reduced recovery times and lower risks of complications. At SHIFAA PAN African Hospitals, our experienced vascular surgeons and interventional radiologists perform Endovascular Aneurysm Repair using cutting-edge technology and personalized care.

Procedure Overview:

• Pre-procedure Evaluation: Patients undergo imaging tests such as CT scans or ultrasound to assess the size, location, and severity of the abdominal aortic aneurysm.
• Anesthesia: Local or general anesthesia is administered to ensure patient comfort during the procedure.
• Access and Guidewire Placement: A small incision is made in the groin area to access the femoral artery. A thin, flexible catheter with a guidewire is inserted through the incision and threaded up into the aorta.
• Stent Graft Placement: Using real-time imaging guidance (fluoroscopy), the surgeon or interventional radiologist navigates the stent graft through the catheter to the site of the aneurysm. The stent graft is then expanded, sealing off the weakened area of the aorta and restoring normal blood flow.
• Closure and Recovery: After confirming the correct placement of the stent graft and ensuring proper blood flow, the catheter is removed, and the incision site is closed. Patients are monitored closely in the recovery area before being transferred to a hospital room or discharged home.

Benefits of Endovascular Aneurysm Repair (EVAR):

• Minimally Invasive: Requires small incisions, reducing trauma to surrounding tissues and speeding up recovery compared to open surgery.
• Lower Risk of Complications: Reduces the risk of postoperative complications such as infection, blood loss, and longer hospital stays.
• Faster Recovery: Most patients experience shorter hospital stays and quicker return to normal activities compared to traditional surgery.
• Preserves Aortic Function: Reinforces the weakened aortic wall, preventing the risk of aneurysm rupture and associated complications.

Post-procedure Care:

• Monitoring: Patients are monitored closely in the hospital for a brief period to ensure stable vital signs and recovery from anesthesia.
• Medication: Prescribed medications may include pain relievers, antibiotics to prevent infection, and medications to manage blood pressure and prevent blood clots.
• Follow-up: Regular follow-up appointments and imaging tests are scheduled to monitor the stent graft’s position, detect any complications, and assess overall vascular health.

What is Endovascular Aneurysm Repair (EVAR), and who is a candidate for this procedure?

EVAR is a minimally invasive procedure to treat abdominal aortic aneurysms (AAA). Candidates include individuals with AAA of a certain size or risk factors for rupture.

 

How is EVAR different from traditional open surgery for abdominal aortic aneurysms?

EVAR involves smaller incisions, reduced trauma to surrounding tissues, lower risk of complications, shorter hospital stays, and faster recovery compared to open surgery.

 

What are the potential risks or complications associated with EVAR?

While generally safe, risks include blood vessel injury, stent graft migration, endoleaks (persistent blood flow into the aneurysm sac), infection, and blood clots. Our team takes precautions to minimize these risks.

 

What is the recovery process like after Endovascular Aneurysm Repair?

Most patients experience shorter hospital stays and quicker return to normal activities compared to open surgery. Follow-up appointments and imaging tests are essential for monitoring recovery and detecting any issues.

 

How long does the stent graft last, and is additional treatment required after EVAR?

Stent grafts are designed to be durable and long-lasting. Periodic follow-up appointments are needed to ensure the graft’s integrity and overall vascular health.

 

Are there lifestyle changes or medications recommended after EVAR?

Maintaining a healthy lifestyle, managing cardiovascular risk factors such as high blood pressure and cholesterol, and regular follow-ups with healthcare providers are crucial for long-term vascular health.

 

What are the success rates of Endovascular Aneurysm Repair, and when can patients expect to resume normal activities?

Success rates are generally high, with most patients experiencing symptom relief and improved vascular health. Patients can often resume normal activities gradually after consulting with their healthcare team.

At SHIFAA PAN African Hospitals, our vascular specialists and dedicated care teams are committed to delivering safe, effective, and comprehensive vascular care, including advanced procedures like Endovascular Aneurysm Repair, to improve patients’ quality of life and long-term health outcomes.