Patient-Centric ApproachesCollaborative and Minimally Invasive TechniquesRisk Management and Surveillanceaortic aneurysmbleedingbruisingendovascular aortic repairEVARCT scansultrasoundaortafemoral arteryrenal arteries

EVAR surgery

The interview discusses the endovascular aortic repair (EVAR) technique, its history, procedure, benefits, complications, and long-term surveillance requirements.

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Dr Richard Gibbs

Open repair of aortic aneurysms

Mr Gibbs - Vascular Consultant at Imperial College - talks about open aortic aneurysm repair.

Dr Richard Gibbs

Aortic aneurysm repair

Mr Gibbs - Vascular Consultant at Imperial College - talks about choices regarding options of treatment of aortic aneurysm repair.

Dr Richard Gibbs

What is an endoleak?

Mr Gibbs explains that an endoleak is the finding of blood flowing into the aneurysm around a stent graft (medical device) after it has been inserted in endovascular (keyhole) repair. This is one of the important complications to be aware of and can be found on scans during follow up. There are different types of endoleaks, some of which can lead to high pressure blood flow into the aneurysm, and these need procedures to prevent rupture (bursting).

Dr Richard Gibbs

Enovascular abdominal aneurysm repair (EVAR)

Mr Gibbs - Vascular Consultant at Imperial College - explains minimally invasive treatment of AAA.

Dr Richard Gibbs

What is the length of the stay in hospital after aneurysm repair?

Mr Gibbs talks to Mr Jaffer about the importance of length of stay in hospital after aneurysm repair in deciding whether to opt for endovascular (keyhole) repair or open surgery. With endovascular repair, a lot of patients can expect to be in hospital for about one to two days. But for open repair, because this is a much larger operation, this would need at least one day in intensive care or high dependency units, and another few days in hospital. But it is important to weigh this up against the longer term outcomes of durability, which tend to favour open repair.

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