Guide To Preventing And Treating Abdominal Aortic Aneurysms

Endovascular Repair

When an abdominal aortic aneurysm reaches a certain size or causes debilitating symptoms, an endovascular repair may be needed to treat it. This is the most common surgical method used to treat abdominal aortic aneurysms between 1.9 and 2.2 inches, and the recovery time is less than half of that for open abdominal surgery. During an endovascular repair, the patient may receive local or general anesthesia before the physician makes an incision on both sides of the groin. Using imaging equipment, the physician threads a guidewire to the site of the aneurysm. The physician then injects contrast dye into the area to obtain a better visual of the aneurysm and blood vessels near it. Guided by imaging equipment, the surgeon threads a stent-graft to the aneurysm. The stent-graft is expanded and the weakened aorta wall it is attached to it. Contrast dye is injected once again to ensure there are no leaks. The guidewire and tools are removed, and the small incisions are sutured up.

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