About Endovascular Aortic Repair
Key Highlights
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Minimally Invasive: Avoids a large abdominal or chest incision, using only small groin punctures.Reduced Pain and Scarring: Significantly less post-operative pain and minimal visible scarring.Shorter Hospital Stay: Typically requires only 1-3 days in the hospital compared to 5-10 days for open surgery.listrongFaster Recovery:/strong Patients can return to normal activities much sooner, often within a few weeks./lilistrongLower Immediate Risk:/strong Reduced risk of complications like major bleeding, infection, and respiratory issues in the short term./li/ul
Who is this surgery for?
- Treatment of an Abdominal Aortic Aneurysm (AAA) larger than 5.5 cm in diameter or growing rapidly.
- Repair of a Thoracic Aortic Aneurysm (TAA) or a thoracoabdominal aneurysm in suitable anatomy.
- Management of a symptomatic aortic aneurysm causing pain, tenderness, or pressure.
- Emergency treatment for a contained rupture or leak from an aortic aneurysm.
- Patients who are at high risk for traditional open aortic surgery due to age or other medical conditions (e.g., heart, lung, or kidney disease).
How to prepare
- Comprehensive Imaging: Undergo detailed CT angiography to map the aneurysm's size, shape, and location for precise stent-graft planning.
- Medical Evaluation: Complete cardiac, pulmonary, and renal assessments to ensure fitness for the procedure and anesthesia.
- Medication Review: Adjust current medications as advised; typically, blood thinners are paused before the procedure.
- Fasting: Refrain from eating or drinking for 6-8 hours before the scheduled procedure time.
- Informed Consent: Discuss all risks, benefits, and alternatives with your cardiac surgeon and provide written consent.
Risks & possible complications
- Endoleak: Persistent blood flow into the aneurysm sac around the graft, requiring monitoring or further intervention.
- Graft Migration or Kinking: The stent-graft may shift or bend, potentially compromising the seal.
- Access Site Complications: Bleeding, hematoma, or pseudoaneurysm at the groin puncture sites.
- Ischemia: Reduced blood flow to the kidneys, intestines, or legs due to graft placement or plaque dislodgement.
- Contrast-Related Issues: Allergic reaction to contrast dye or kidney injury (contrast-induced nephropathy).
- Infection: Risk of graft infection, which is rare but serious.
- Long-Term Monitoring: Requires lifelong follow-up with periodic CT scans to ensure graft integrity.
Recovery & hospital stay
- Immediate Post-Procedure: Spend several hours in a recovery area; the groin access sites will be monitored for bleeding.
- Hospital Stay: Typically 1-3 days for observation, pain management, and ensuring you can walk and eat normally.
- Activity Guidance: Avoid heavy lifting (more than 10 lbs) and strenuous exercise for 4-6 weeks. Walking is encouraged.
- Wound Care: Keep the small puncture sites clean and dry; watch for signs of infection like redness or discharge.
- Medications: May be prescribed antiplatelet drugs (like aspirin) and possibly blood pressure medications.
- Follow-Up: Crucial to attend all scheduled imaging appointments (usually CT scans at 1 month, 6 months, and annually) to monitor the graft.
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Typical hospital stay: 1-3 days
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Expected recovery time: 4-6 weeks for normal activities; full recovery may take 2-3 months
Frequently Asked Questions
If you are considering endovascular aortic repair in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endovascular aortic repair in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endovascular aortic repair. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endovascular aortic repair compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 3,854 – USD 9,360 | 1-3 days | ~ 4-6 weeks for normal activities; full recovery may take 2-3 months | Know More |
| Turkey | USD 28,685 – USD 69,663 | 1-3 days | ~ 4-6 weeks for normal activities; full recovery may take 2-3 months | Know More |
Top hospitals for Endovascular Aortic Repair in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing endovascular aortic repair.
Emma Smith, a 68-year-old retired school...
Emma Smith, a 68-year-old retired school librarian, had always been active and health-conscious. During a routine check-up, her primary care physician detected a concerning abdominal aortic aneurysm (AAA) measuring 5.2 cm. Emma had no symptoms, which made the diagnosis even more shocking. A vascular surgeon explained that while she was lucky it was found, the aneurysm posed a significant risk of rupture. Given her age and overall good health, he recommended an Endovascular Aortic Repair (EVAR) as a minimally invasive alternative to open surgery. The procedure itself was a whirlwind; she was under general anesthesia and woke up with only two small incisions in her groin. The hospital stay was just two days. Her recovery at home was remarkably smooth, with mild discomfort and fatigue for a few weeks. Emotionally, Emma went from initial fear and disbelief, feeling like a 'ticking time bomb', to immense relief and gratitude. She now cherishes her daily walks with a renewed sense of vitality and attends annual monitoring scans with confidence, feeling she got a second chance.
Cardiac surgeons for Endovascular Aortic Repair
Explore experienced cardiac surgeons who regularly perform endovascular aortic repair and provide pre- and post-operative care in India.
- 20 Years Experience
- Cardiac surgeon
KMC Hospital Mangalore, Mangalore
- 24 Years Experience
- Cardiac surgeon
Manipal Hospital Mukundapur, Kolkata
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Kanakapura Road, Bangalore
- 8 Years Experience
- Cardiac surgeon
Manipal Hospital Dhakuria, Kolkata
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Dhakuria, Kolkata
- 37 Years Experience
- Cardiac surgeon
Manipal Hospital Dhakuria, Kolkata
- 46 Years Experience
- Cardiac surgeon
Manipal Hospitals Broadway, Kolkata
- 37 Years Experience
- Cardiac surgeon
Manipal Hospitals Broadway, Kolkata
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Varthur Road, Bangalore
- 10 Years Experience
- Cardiac surgeon
Manipal Hospitals Broadway, Kolkata
- 12 Years Experience
- Cardiac surgeon
Manipal Hospital Salt Lake, Kolkata