Conditions Treated by EVAR

EVAR is most commonly used for repairing:

• Abdominal Aortic Aneurysms (AAA): Occurring in the lower segment of the aorta, these aneurysms can cause significant health risks if they rupture.

• Thoracic Aortic Aneurysms (TAA): Found in the upper part of the aorta, these aneurysms require careful management to prevent severe complications.

Common symptoms that may indicate the presence of an aneurysm include a pulsating sensation near the navel, persistent deep pain in the abdomen or back, and general discomfort. Risk factors include advanced age, smoking, high blood pressure, and a family history of aneurysms.

 

The EVAR Procedure

Pre-Procedure Evaluation

Before undergoing EVAR, patients meet with their doctor to review their medical history and undergo diagnostic imaging—such as CT scans or MRIs—to determine the aneurysm's size and exact location. These tests help ensure that the patient is a suitable candidate for the procedure.

Step-by-Step Procedure

1. Anesthesia:
   The procedure begins with the administration of either general or local anesthesia to ensure patient comfort throughout the treatment.

2. Catheter Insertion:
   Small incisions are made in the groin to access the femoral artery. A catheter is carefully advanced through the blood vessels until it reaches the site of the aneurysm.

3. Stent Graft Placement:
   Through the catheter, a stent graft—a fabric-covered metallic mesh—is introduced. Once positioned, the stent graft expands and attaches to the arterial walls, effectively creating a new pathway for blood flow and relieving pressure on the aneurysm.

4. Imaging Guidance:
   Continuous imaging, usually through fluoroscopy, ensures that the stent graft is placed accurately and securely.

Post-Procedure Care

Following EVAR, patients are monitored in a recovery area where vital signs and the function of the stent graft are carefully observed. Most patients stay in the hospital for a couple of days before being discharged with specific instructions for at-home care. Follow-up appointments are critical for tracking the long-term success of the repair and managing any potential complications.

 

Benefits of EVAR

Choosing EVAR over traditional open surgery offers several key advantages:

• Minimally Invasive Approach:
  Smaller incisions reduce tissue trauma, resulting in less postoperative pain and a faster recovery.

• Lower Complication Rates:
  The risk of infections and other surgical complications is significantly minimized.

• Shorter Recovery Time:
  Most patients can resume normal activities within a few weeks, returning more quickly to their daily routines.

• High Success Rates:
  EVAR effectively prevents the rupture of aneurysms, thereby greatly improving the patient’s quality of life.

 

Risks and Considerations

As with any surgical intervention, EVAR does involve some risks. Potential issues include:

• Infection:
  Though rare, infections can occur at the incision sites.

• Endoleak:
  There may be persistent blood flow into the aneurysm sac after the procedure, which might necessitate further treatment.

• Stent Graft Migration:
  In some cases, the stent graft may shift from its intended position, requiring additional intervention.

At Mahadev Heart Care, we mitigate these risks through rigorous pre-procedure planning and the expertise of our multidisciplinary team.

 

Our Facility and Approach

At Mahadev Heart Care, Bangalore, we combine advanced technology with a patient-centered approach to deliver exceptional cardiovascular care. Our state-of-the-art facility is equipped with the latest imaging and surgical technology, ensuring precise and effective EVAR procedures. Our dedicated team of specialists, including interventional cardiologists, vascular surgeons, and skilled support staff, work together to guarantee a safe, smooth, and successful treatment experience.

 

How to Get Started

If you have been diagnosed with an aneurysm or suspect you might be at risk, taking prompt action is essential. Here’s how you can begin:

• Schedule a Consultation:
  Contact our center to arrange an initial consultation.

• Undergo Diagnostic Testing:
  We will perform the necessary imaging tests to evaluate your condition.

• Discuss Insurance and Payment Options:
  Our team will work with you to discuss the financial aspects and available payment options to ensure that treatment is both accessible and affordable.

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Endovascular Aneurysm Repair (EVAR) represents a significant advancement in the treatment of aneurysms, offering a less invasive, safer, and highly effective alternative to traditional surgery. With its many benefits and a shorter recovery time, EVAR can dramatically improve patient outcomes and quality of life. At Mahadev Heart Care, Bangalore, we are committed to delivering excellence in cardiovascular care and personalized treatment tailored to your needs.

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For more information or to schedule your consultation, please contact our office today. Let us help you take the first step toward a healthier, safer future.