Aortic Interventions like EVAR, TEVAR and PEVAR
Aortic interventions such as EVAR (Endovascular Aneurysm Repair), TEVAR (Thoracic Endovascular Aneurysm Repair), and PEVAR (Percutaneous Endovascular Aneurysm Repair) are minimally invasive procedures used to treat aortic aneurysms. These conditions involve abnormal bulging or weakening of the aorta, which can become life-threatening if left untreated.
These modern techniques use stent grafts to reinforce the weakened portion of the aorta, reducing the risk of rupture while offering faster recovery and less discomfort compared to traditional open surgery.
An aortic aneurysm is an abnormal enlargement or ballooning of the aorta due to weakening of its wall. It can occur in different parts of the aorta:
Abdominal Aortic Aneurysm (AAA)
Thoracic Aortic Aneurysm (TAA)
If untreated, an aneurysm can rupture, leading to severe internal bleeding and medical emergency.
1. EVAR (Endovascular Aneurysm Repair)
EVAR is used to treat aneurysms in the abdominal aorta. A stent graft is inserted through small incisions in the groin and guided to the aneurysm site to strengthen the artery wall.
2. TEVAR (Thoracic Endovascular Aneurysm Repair)
TEVAR is designed for aneurysms in the thoracic (chest) aorta. It involves placing a stent graft to support the weakened section and prevent rupture.
3. PEVAR (Percutaneous Endovascular Aneurysm Repair)
PEVAR is an advanced form of EVAR performed without surgical incisions, using needle puncture techniques. It allows even faster recovery and minimal scarring.
Although safe, potential risks include:
• Endoleak (blood flow outside the stent graft)
• Infection
• Stent migration
• Blood vessel injury
These risks are significantly lower compared to traditional surgery.