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Abdominal Aortic Aneurysm AAA Repair > EVAR > No Incisions > New Method > Insert tiny suturing device directly through skin > No incision > No wound > No bleeding > Faster return to activity

Are about 90 percent of EVAR patients sutiable for the new procedure? Is it like a tunnel going through a mountain? Is the cutting into the groin avoided with the new technique?

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IIP > read on here > http://www.thebostonchannel.com…

…Surgeons at Beth Israel Deaconess Medical Center are repairing dangerous aortic aneurysms using a new technique that not only avoids the need for an abdominal incision but also does away with having to cut into the groin…

Aneurysms of the aorta, the main artery of the chest and abdomen, are caused by a weakening of the aortic wall. The result is a “ballooning” of the vessel that grows progressively larger and can rupture at any time, causing instant death.

If diagnosed early, such aneurysms can be easily treated. The operation involves placing a Dacron graft reinforced with metal stents that allows blood flow to go around the bubble and through the graft instead, eliminating the possibility of a rupture…

In years past, the operation involved making a major incision in the abdomen to get to the aneurysm. In recent years, surgeons have been able to access the aneurysm by placing catheters into two femoral arteries, accessing them through incisions in the groin. Using X-rays for proper positioning, the graft is secured in place by inflating a balloon to expand the graft to the size needed to prevent blood flow into the aneurysm.

The endovascular approach reduces the mortality rate from as high as 10 percent, depending on the age and sickness of the patient, down to one-to-two percent, according to Dr. Hamdan. It also allows for a shorter hospital stay and a quicker return to normal activities.

Now, the Division of Vascular and Endovascular Surgery, including chairman Dr. Frank Pomposelli and Dr Hamdan’s partners, Dr. Marc Schermerhorn and Dr. Mark Wyers, has adopted a new, improved method of endovascular abdominal aortic aneurysm treatment, called Total Percutaneous AAA Repair, which allows access without cutting into the groin…

While mortality rates are essentially the same as with the original endovascular repair approach, the new method is easier on the patient in a variety of ways, including less chance of infection and a quicker recovery, he says…

This was written by admin. Posted on Monday, November 3, 2008, at . Filed under Surgical revision, GORE EXCLUDER AAA Endoprosthesis, Aorfix Dacron stent-graft, Stent graft migration following endovascular aneurysm r, Aneurysm rupture, Type I endoleaks, Life Line Screening, Benefit from screening, Fixation of stent grafts, Stent graft fixation product, Stent grafts have a tendency to migrate, Endoleaks, Keep the graft in place, Endovascular techniques prone to similar complications, Paraplegia secondary to spinal cord ischaemia, Abdominal aortic aneurysms have no symptoms, Abdominal aortic aneurysm AAA repair, Endovascular abdominal aortic aneurysm repair, Endovascular Aneurysm Repair EVAR Trials, endovascular therapies, Abdominal Aortic Aneurysm, Endovascular and coronary products, Endovascular resection, Men in England are to be offered AAA screening, Complication of stent-graft repair, Endovascular aneurysm repair EVAR, Endovascular Therapy, Endovascular repair of abdominal aortic aneurysms EVAR, Stent Stapler, Stapling may replace stitching, Watchful waiting, Treatment of aneurysms, Open aneurysm repair, Surgical aneurysm repair, Endoaneurysmorrhaphy, Elective surgical treatment of AAA, Albert Einstein, Sudden severe back or abdominal pain, Abdominal aortic aneurysm AAA, Ultrasound screening, Endovascular stent graft, Silent killer, Risk of developing AAA, Totally laparoscopic AAA replacement, Larger aneurysms can leak or rupture, Ascending aortic aneurysm, Simple $50 ultrasound scan, Free screening for AAA, Welcome to Medicare physical, Scanning and visualizing the aorta, Screen the aorta, Stent-graft technology under serious scrutiny, Subsidiary of a major stent-graft company, Need for reintervention, Endovascular stenting, Long-term graft performance, AAA stent-graft device, Warning letter, Rupture of an abdominal aortic aneurysm. Bookmark the permalink. Follow comments here with the RSS feed. Both comments and trackbacks are currently closed.