Endovascular Repair of Abdominal Aortic Aneurysm
(Minimally Invasive Repair of Abdominal Aortic Aneurysm; EVAR)
|Abdominal Aortic Aneurysm|
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Reasons for Procedure
- Causes physical symptoms, such as abdominal pain
- Causes complications, such as clots that travel into the legs
- Reaches a certain size and position that meets criteria for EVAR
- Has burst—Surgery must be done right away.
- Adverse reaction to anesthesia
- Bruising or bleeding
- Damage to blood vessels or organs (possibly requiring open surgery)
- Leaking of blood at the graft
- Heart attack
- Blood clots
- Chronic disease such as diabetes or obesity
- A recent or active infection
- Bleeding or clotting disorders
What to Expect
Prior to Procedure
- Do a physical exam, blood tests, and imaging tests
- Ask about your medical history, including allergies, current medications, bleeding disorders, and other concerns
- Have you meet with an anesthesiologist
- Do not eat or drink for 8 hours prior to the procedure.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Gradually move around and increase your activity level
- Slowly return to eating solid foods, as tolerated
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Your condition needs to be carefully monitored. Be sure to go to all of your appointments.
- Follow your doctor's instructions.
Call Your Doctor
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision site
- Signs of infection, including fever and chills
- New abdominal pain
- Back pain
- Any change of color or sensation in your legs or feet
- Burning, pain, or problems when urinating
- Nausea or vomiting
- Abdominal cramps or diarrhea
- Unusual fatigue or depression
- Disorientation or confusion
- Numbness or tingling in the legs
- New, unexplained symptoms
- Shortness of breath
- Chest pain
American Heart Association http://www.heart.org
Society for Vascular Surgery http://www.vascularweb.org
Canadian Cardiovascular Society http://www.ccs.ca
Canadian Society for Vascular Surgery http://canadianvascular.ca
Abdominal aortic aneurysm (AAA). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 3, 2014. Accessed March 11, 2015.
Endovascular repair of thoracic aortic aneurysms. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/disorders/aorta%5Fmarfan/endovascularaorticaneurysm.aspx. Accessed March 11, 2015.
Fotis T, Mitsos A, Perdikides T, et al. Regional Anesthesia versus general anesthesia in endovascular aneurism repair: the surgical nursing interventions. British Journal of Anesthetic and Recovery Nursing. 2009;10(1):11-14.
- Reviewer: Marcin Chwistek, MD
- Review Date: 03/2015 -
- Update Date: 01/27/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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