Endovascular Repair Of Abdominal Aortic Aneurysm Care

Learn what care is required for the Endovascular Repair Of Abdominal Aortic Aneurysm procedure. Find out what you need to do prior to the procedure, how long it will take, if you will be required to stay in the hospital and what the postoperative care is.

Endovascular Repair Of Abdominal Aortic Aneurysm Details


Alternate Names for Endovascular Repair Of Abdominal Aortic Aneurysm:
EVAR
Minimally invasive repair of abdominal aortic aneurysm

What to Expect Prior to Procedure

Your doctor may:

  • Do a physical exam, blood tests, and imaging tests (eg, CT scan )
  • Ask about your medical history, including allergies, current medicines, bleeding disorders, and other concerns
  • Have you meet with an anesthesiologist

Before the procedure:

  • Do not eat or drink for eight hours prior to the procedure.
  • Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
    • Anti-inflammatory drugs (eg, aspirin )
    • Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)

Anesthesia

Your doctor may use:

  • General anesthesia -puts the entire body to sleep
  • Regional anesthesia -blocks pain to a part of the body, may be used with a sedative

Description of the Procedure

You will lie on your back. You will receive medicine to ease pain and relax you. Once you are asleep and sedated, a breathing tube will be inserted into your throat and lungs. Sometimes, regional anesthesia will be used. A breathing tube will not be needed in this case.

The doctor will make small incisions in both sides of the groin. Catheters (thin tubes) will be inserted into the blood vessels and threaded up toward the aneurysm. Contrast dye will be injected through the catheters. The doctor will then guide a stent graft to the site. The graft will be placed into the weakened area and extended into both pelvic arteries. To guide each step, the doctor will use live x-ray images. Your vital signs will be monitored. Once the graft is in place, the doctor will remove the catheters. The incisions will be closed. Sterile bandages will be applied.

Immediately After Procedure

You will be taken to the intensive care unit (ICU). If you have a breathing tube, it will be removed. Your vital signs will be closely monitored.

How Long Will It Take?

About 2-3 hours

How Much Will It Hurt?

Anesthesia will prevent pain during the procedure. Your doctor will give you medicine to manage the pain during the recovery process. There is little discomfort from the groin incisions.

Average Hospital Stay

The usual length of stay is 1-2 days. Your doctor may choose to keep you longer if needed.

Post-procedure Care At the Hospital

At the hospital, you will:

  • Gradually move around and increase your activity level
  • Slowly return to eating solid foods, as tolerated

At Home

When you return home, do the following to help ensure a smooth recovery:

  • Keep the incision areas clean and dry. Follow your doctor's instructions for changing your bandages.
  • Take pain medicine as directed.
  • Ask your doctor which activities are safe for you.
  • Your condition needs to be carefully monitored. Be sure to go to all of your appointments.


Learn

Learn what Endovascular Repair Of Abdominal Aortic Aneurysm is
What Is
Learn what the procedure is. Find out how it is performed.
Reasons For Endovascular Repair Of Abdominal Aortic Aneurysm
Reasons For
Find out why and when this procedure should be done.
Endovascular Repair Of Abdominal Aortic Aneurysm Complications
Complications
Learn about possible complications and what might increase the risk of them.
Endovascular Repair Of Abdominal Aortic Aneurysm Details
What to Expect
Find out how long it will take, what they will be doing and what to expect afterwards.
Endovascular Repair Of Abdominal Aortic Aneurysm Results
Results
What are the next steps and other possible tests needed after you have received the results.
When to Contact Doctor about Endovascular Repair Of Abdominal Aortic Aneurysm
Call Your Doctor
What to look out for and when to call your doctor after a procedure has been done.

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Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright ©2014 EBSCO Publishing All rights reserved. Source: EBSCO