Endovascular aneurysm repair (EVAR) is a minimally invasive procedure employed in the treatment of abdominal aortic aneurysms, which are dangerous bulges in the body’s largest artery, responsible for transporting blood from the heart to various parts of the body. EVAR involves the use of small punctures and advanced medical tools to effectively repair these aneurysms within the abdominal aorta, offering a less invasive alternative to traditional surgical methods.
Patients with aortic aneurysms may find EVAR beneficial. These aneurysms affect the largest artery in the body, the aorta.
Not all aneurysms require medical intervention. Physicians may recommend EVAR if:
Like any surgical procedure, there are potential complications associated with this intervention. These complications may include, but are not limited to:
Additional risks may depend on the patient’s specific medical condition. Therefore, it is crucial for patients to have thorough discussions with their healthcare provider to address any concerns before undergoing the procedure.
Prior to the procedure, your physician will thoroughly explain the process, address any questions you may have, and require you to sign a consent form. You may also undergo a physical examination and diagnostic tests to ensure your health suitability. It’s important to abstain from food for eight hours before the procedure, typically after midnight. Notify your physician if you are pregnant, have allergies, or are sensitive to certain substances, and disclose all medications and supplements you’re taking. If you have a history of bleeding disorders or take blood-thinning medications, your physician may advise you to discontinue them. Smoking should be ceased prior to the procedure for better recovery and overall health. Sedation may be administered for relaxation, and in some cases, the surgical site may need to be shaved. Additional specific preparations may be required based on your medical condition.
Procedures may vary based on individual medical conditions and physician preferences. Below is a concise description of the surgical process:
After surgery, you may be taken to either the intensive care unit (ICU) or the post-anesthesia care unit (PACU), where you’ll be continuously monitored for your electrocardiogram (ECG or EKG) tracing, blood pressure, other pressure readings, breathing rate, and oxygen levels. Following a designated period in either unit, you’ll then be transferred to a regular nursing care unit. Pain relief will be provided for incisional pain, possibly through an epidural placed during surgery. As you recover, your activity level will gradually increase, with you getting out of bed and walking for longer periods, and your diet will advance to solid foods as tolerated. Additionally, arrangements will be made for a follow-up visit with your physician.
Recovery after the procedure typically takes several days to several months before you start feeling normal again. You should anticipate spending a few days in the hospital. Once the effects of the anesthesia wear off, you can resume eating and drinking. The nursing staff will assist you in getting out of bed and beginning to walk as soon as it is safe to do so.
After returning home, you may experience fatigue and may require pain medication for a few days. It’s important not to drive while you are still taking pain medication. Most people are able to return to work within a month, but you should avoid lifting heavy objects for four to six weeks following the procedure.
Make sure to promptly contact your physician if you experience any of the following symptoms:
Your physician may provide you with additional or alternative instructions based on your specific circumstances.
+66 2066 8888