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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.

Post-operative complications of aneurysm repair

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.

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).

EVAR surgery

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

Enovascular abdominal aneurysm repair (EVAR)

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

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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