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ABDOMINAL AORTIC ANEURYSM

What is Endovascular Aneurysm Repair (EVAR)?
You have been diagnosed with an abdominal aortic aneurysm and your healthcare provider has requested that you undergo an endovascular aneurysm repair. This procedure is less invasive than open surgery as it avoids making large incisions. The procedure involves placing a stent graft (covered wire mesh) within the aneurysm, thus allowing blood to flow through the stent and not the aneurysm itself.

How Should I Prepare?
You should not eat or drink anything for six hours prior to your procedure. You may take your medications as directed. Speak to your doctor if you need to adjust your insulin dosing. Prior to your procedure, you should make sure all medications and allergies are updated. If you are on a blood thinner you may be requested to stop that medication for a period of time.

How is the Procedure Performed?
The procedure will be performed by physicians with specific training in Vascular Surgery and Interventional Radiology. The procedure will be performed under fluoroscopy (x-ray). These procedures are usually performed under general anesthesia or intravenous conscious, under the observation of an anesthesiologist. The skin is cleaned with a sterilizing solution and numbing medicine is injected into the skin. A catheter (small tube) is placed within the target vessel and advanced to the area of the aneurysm. A stent graft (covered wire mesh) is advanced through the small tube where it will be expanded within the aneurysm. Once in place, blood will flow through the stent graft and will be unable to enter into the aneurysm. The procedure on average will take two hours and a hospital stay will be required.

What Should I Expect After the procedure?
Following the procedure, you will be monitored in the hospital for any complications.

THORACIC AORTIC ANEURYSM

What is Thoracic Endovascular Aneurysm Repair (TEVAR)?
You have been diagnosed with a thoracic aortic aneurysm and your healthcare provider has requested that you undergo a thoracic endovascular aneurysm repair. This procedure is less invasive than open surgery as it avoids making large incisions. The procedure involves placing a stent graft (covered wire mesh) within the aneurysm, thus allowing blood to flow through the stent and not the aneurysm itself.

How Should I Prepare?
You should not to eat or drink anything for six hours prior to your procedure. You may take your medications as directed. Speak to your doctor if you need to adjust your insulin dosing. Prior to your procedure, you should make sure all medications and allergies are updated. If you are on a blood thinner you may be requested to stop that medication for a period of time.

How is the Procedure Performed?
The procedure will be performed by physicians with specific training in Vascular Surgery and Interventional Radiology. The procedure will be performed under fluoroscopy (x-ray). These procedures are usually performed under general anesthesia. The skin is cleaned with a sterilizing solution and numbing medicine is injected into the skin. A catheter (small tube) is placed within the target vessel and advanced to the area of the aneurysm. A stent graft (covered wire mesh) is advanced through the small tube where it will be expanded within the aneurysm. Once in place, blood will flow through the stent graft and will be unable to enter into the aneurysm. The procedure on average will take 1-3 hours and a hospital stay will be required.

What Should I Expect After the procedure?
Following the procedure, you will be monitored in the hospital for any complications.

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