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What is endovascular repair (EVAR)?
Surgical TechniquesGraft Innovationsendovascular repairopen repairaortabellygroin

What is endovascular repair (EVAR)?

Mr Usman Jaffer explains that there are two options to repair an abdominal aortic aneurysm (AAA): endovascular repair (EVAR) and open repair. In terms of EVAR, this is done by keyhole incisions in the groin. A device (called a stent graft) is inserted into the femoral artery (artery in the thigh) in the groin and travels up the blood vessels to reach the aorta inside the abdomen (belly). It is fixed inside the aorta to strengthen it and prevent it from rupturing (bursting).

Transcript (auto-generated)

This transcript was generated automatically and may contain errors.

So, in terms of repairing aneurysms, you've got the endovascular option and you've got the open repair. In terms of the endovascular option, this is done with keyhole type incisions in the groin most often, and those incisions allow you to pass a device that we call a stent graft into the aorta to line the inside of the aorta like an inner tube of a tyre. And because the aorta splits into two, you need a device that splits into two as well. And the way we overcome that problem is to insert the main body of the device that goes into the aorta and one limb, or one leg, through one groin. And the other side of the device, which forms the Y-shaped graft or bifurcated graft, goes in the other groin and docks with the main body inside the aorta, inside the belly.

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