EVAR surgery 

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

Mr Gibbs talks to Mr Jaffer about if we can predict whether EVAR (keyhole repair) is likely to be successful or not in which patients. It appears to be the key factor is poor or complex anatomy (configuration) of the aorta, which can lead to higher rates of leakage or slippage of the graft. This is important to consider with your clinician.

Mr Gibbs discusses with Mr Jaffer that patients who have open repair usually require less follow up and may only need one or two follow up appointments with a scan to make sure there are no issues with the repair. But for endovascular (keyhole) repair, more regular follow up is needed, at least every year, because it tends to be less durable and can lead to complications, and these may require further procedures.

Mr Gibbs explains some of the complications after aneurysm repair by both EVAR (keyhole repair) or open surgical repair. This can be a very important factor for many patients to consider before deciding which operation to choose. The most common post-operative complications for EVAR are usually small. The risk of significant complications for open repair is much higher than EVAR, which can include major bleeding, lack of blood flow to the legs or guts. But in the longer term, EVAR tends to have more complications as they are less durable.

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