Know About Endovascular Stenting (TEVAR) For Abdominal Aorta and Common Iliac Aneurysm

By Medical Expert Team

Mar 30 , 2018 | 1 min read

64 year old gentleman, presented with pain in lower abdomen and upon investigation found to be having 8 cm large aneurysm waiting to burst extending till proximal bilateral common iliac arteries.

What are the Symptoms and Causes?

Dr. Manish Meswani, Senior Consultant – CTVS, Max Super Speciality Hospital, Dehradun, says that all the symptoms and causes related to this are Idiopathic.

About the Procedure:

In many places, this disease is subjected to cumbersome high risk surgical repair with high mortality and morbidity risks. TEVAR, endovascular stenting involves no mutilating incision, time taken in the procedure is less than 2 hours as compared to surgery that last almost half the day. There could be nil to minimum blood transfusions. The patient is usually discharged within two days whereas in surgery, the patient would have stayed for atleast 2 weeks. There is immediate mobilization from the next day.

How is the procedure carried out?

The procedure is done in a cath lab using endovascular stents. There needs to be collaboration between Interventional Cardiologists and CTVS surgeon along with a good anesthesia team.

Are there any challenges?

Till date, the procedure only belonged to elite hospitals in metro cities. But due to our constant commitment to bring this state of art medical technology to Uttarakhand, we have done our first independent case at Max Dehradun. The person would have advised a high risk surgery but to this stenting, all that he required were two incisions in groins to expose femoral arteries and entire stenting of abdominal infra renal aorta along with common iliac arteries. The entire procedure was done in less than 2 hours and the patient got discharged after 48 hours. It is not only delight to patient and family but great sense of satisfaction for our medical team as well. We are now capable of performing endovascular stenting for entire thoracic and abdominal aorta which can benefit many patients with life threatening diagnosis like aortic aneurysm, dissection, for which surgical option always remains detrimental to life.

We are hoping to bring in all facets of interventional therapies to Max, thereby making life much easier to live.