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EVAR: Minimally Invasive Aneurysm Repair
Endovascular Aneurysm Repair (EVAR) is a type of minimally invasive endovascular surgery used to treat an abdominal aortic aneurysm, which is a weakened area in the wall of the aorta.  EVAR is performed to prevent rupture of the aorta, which may cause uncontrolled bleeding and life-threatening complications.  

 

At Florida Hospital Waterman, EVAR is performed in a catheterization laboratory by surgeon David Bjerken, M.D. and cardiologist Alejandro Caballero, M.D.  Through small incisions in the groin, catheters are used to guide and deliver a stent-graft through the femoral artery to the site of the aneurysm. When in place, the stent-graft expands in a spring-like fashion and attaches to the wall of the aorta to support the weakened area and divert blood flow away from the aneurysm.  As a result, the aneurysm usually shrinks over time. 

 

According to Dr. Bjerken, “EVAR is less painful and has a much lower risk of complications than traditional surgery because the incisions are smaller.  The hospital stay following endovascular stent grafting is usually 2-3 days, with full return to normal activity in 4-6 weeks after the procedure.”  Your surgeon and cardiologist will determine whether the minimally invasive approach to aneurysm repair is the most appropriate treatment for you. 

 

Like other heart surgery patients, patients who have had endovascular repair of an aneurysm should follow a heart-healthy lifestyle.  In addition to a low-fat diet, your physician may recommend a moderate exercise program during and after your recovery.