Endovascular aneurysm repair
Image Caption: Abdomen Showing Abdominal Aorta with Stent: 3D visualization based on scanned human data of a stent placed in the abdominal aorta. The stent is placed in the constricted vessel pushing the accumulated plaque outwards.
An aneurysm is a bulge or "ballooning" in the wall of an artery. Arteries are blood vessels that carry oxygen-rich blood from the heart to other parts of the body. If an aneurysm grows large, it can burst and cause dangerous bleeding or even death.
Most aneurysms are in the aorta, the main artery that runs from the heart through the chest and abdomen.
There are two types of aortic aneurysm:
- Thoracic aortic aneurysms - these occur in the part of the aorta running through the chest
- Abdominal aortic aneurysms - these occur in the part of the aorta running through the abdomen
Most aneurysms are found during tests done for other reasons. Some people are at high risk for aneurysms. It is important for them to get screening, because aneurysms can develop and become large before causing any symptoms Screening is recommended for people between the ages of 65 and 75 if they have a family history, or if they are men who have smoked. Doctors use imaging tests to find aneurysms. Medicines and surgery are the two main treatments.
NIH: National Heart, Lung, and Blood Institute
Endovascular aneurysm repair (or endovascular aortic repair) (EVAR) is a type of endovascular surgery used to treat pathology of the aorta, most commonly an abdominal aortic aneurysm (AAA). When used to treat thoracic aortic disease, the procedure is then specifically termed TEVAR (thoracic endovascular aortic/aneurysm repair). The procedure involves the placement of an expandable stent graft within the aorta to treat aortic disease without operating directly on the aorta. In 2003, EVAR surpassed open aortic surgery as the most common technique for repair of AAA, and in 2010, EVAR accounted for 78% of all intact AAA repair in the United States.
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