Surgical Procedures and TechniquesPatient Management and EducationAssessment and Outcomesaortic aneurysmopen surgical repair of aortic aneurysmsCT scanabdomenaortailiac arteries

Open repair of aortic aneurysms

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

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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

Aortic aneurysm repair

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

Dr Richard Gibbs

EVAR surgery

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

Dr Richard Gibbs

What is the need for follow up or further procedures after aneurysm repair?

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.

Dr Richard Gibbs

What factors would predict a long term successful EVAR?

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.

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