Endovascular stent graft

Instead of open aneurysm repair, an endovascular stent graft may be an option. With this procedure, incisions are made in the groin and long, thin tubes called catheters are guided using live x-ray pictures on a video screen to the aneurysm. The stent graft is deployed within the aorta. Like the graft in an open surgery, the endovascular stent graft also removes the risk of rupture of the aorta.

The procedure often has a short recovery, allowing a quick return to normal activities. Your hospital stay may be reduced to 1 to 2 days. However, an endovascular stent graft requires frequent imaging procedures after placement to check that the graft is operating correctly, and remains in the desired position within the aorta. A CT scan or abdominal ultrasound is usually ordered at 30 days post-op, at 6 months, 6 months and yearly thereafter, barring any problems.

In some cases the size and shape of a person’s blood vessels rule out endovascular repair. Some of the risks from this procedure include:

Injuries to the blood vessels or nearby organs
A leak around or behind an endovascular graft
Back pain
Fever
Blood clots in or around the graft or in the legs
Kidney failure
Infection
Heart attack, stroke, or death

Preparing for an Endovascular Procedure

Before an endovascular graft:

Undergo all tests as directed by your surgeon.
Prepare to take at least a week off work.
Prepare to stay in the hospital for 1 to 3 days.
Follow a clear liquid diet the day before and do not eat or drink after midnight before the procedure.
Inform your surgeon of all medications and herbal treatments that you have been taking

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