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Endovascular Aneurysm Repair

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Minimally Invasive Surgery for Aortic Aneurysms

Assistant Professor of Surgery Christopher Abularrage discusses minimally invasive surgery for abdominal and thoracic aortic aneurysms, including the procedure and recovery.

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An aneurysm is an enlarged and weakened section of an artery. An aneurysm can be dangerous because as it increases in size, it can rupture. However, aneurysms can be repaired safely.

There are two common methods for repairing aneurysms including:

  1. surgical, (also called "open" aneurysm repair)
  2. endovascular (also called "stent graft" aneurysm repair)

The best method to repair each aneurysm depends upon several factors, including the location and shape of the aneurysm as well as the overall health of the patient.

The Johns Hopkins Hospital is proud to be selected as one of only 13 hospitals nationwide that can perform endovascular abdominal aortic aneurysm surgery above the renal arteries. Find out more about this procedure and the fenestrated stent graft used.

How is endovascular aneurysm repair performed?

Following is a general description of the procedure.  Your vascular surgeon will give you more information to help you prepare.

  1. While you are under anesthesia your vascular surgeon will make an incision to reach the aneurysm.
  2. Depending upon the type and location of the aneurysm, your surgeon may repair or replace your artery using tissues from your body.  These may also be made of synthetic fabric patches or tubes called grafts.
  3. Your surgeon may use clips or clamps to stop blood from flowing into your aneurysm.
  4. Your vascular surgeon will place a "stentgraft"; a wire tube covered with a synthetic fabric within the aneurysm to stop the flow within it.

How long does it take to recover?

Many patients are treated with this procedure as it is less invasive than standard surgical procedures.  Recovery time is short and may involve a one night hospitalization.

Physicians who perform this treatment

 

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