Factors Your Doctor May Consider – Endovascular Stent Graft

If you are considering endovascular stent grafting for the treatment of an abdominal aortic aneurysm (AAA), you have been told by your doctor that you have an aneurysm in your aorta that needs repair. This is because your doctor may feel that the aneurysm is getting bigger and there is a risk of it rupturing.

Normal aorta (left) and abdominal aortic aneurysm (right)

Detail - Normal aorta (left) and abdominal aortic aneurysm (right)

Currently, the standard treatment for abdominal aortic aneurysm is open surgery. In this procedure, the section of the vessel where the aneurysm has formed is replaced with a synthetic graft.

An alternative to open surgery for abdominal aneurysm repair is a minimally invasive procedure called endovascular stent grafting. This is also referred to as endovascular aneurysm repair (EVAR).

Endovascular stent grafting is called "minimally invasive," because, unlike open surgery, the stents used in endovascular stent grafting are designed to be placed inside the area of the abdominal aortic aneurysm without removing part of the aorta. Also, in minimally invasive repair two small cuts are made in your groin area as opposed to one large cut in your abdomen.

Are You a Candidate for Endovascular Stent Grafting?

You may be a candidate if you are:

  • 18 years of age or older
  • Not pregnant
  • Healthy enough to undergo a 2- to 4-hour procedure
  • Able to attend regularly scheduled office visits with a doctor or radiologist following the procedure, including radiographic imaging studies to evaluate the status of the stent graft and abdominal aortic aneurysm. This includes at least one visit annually for life.
  • Fully informed about the risks and benefits of the stent graft procedure as compared to open surgical repair

You may not be a good candidate if you have a very large abdominal aortic aneurysm, irregularly shaped aneurysms or blood vessels, or other conditions that your doctor may discuss with you.

Talk to Your Doctor

It is very important that you talk to your doctor about treatment alternatives for your abdominal aortic aneurysm. Your doctor can provide details about the endovascular stent grafting procedure and whether or not it is right for you.

Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.

Last updated: 27 Sep 2010

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