EVAR may be the solution you need for an abdominal aortic aneurysm
Endovascular aneurysm repair (EVAR) is one of two procedures commonly used to treat abdominal aortic aneurysms (AAAs). EVAR is minimally invasive compared to open heart surgery and allows your vascular surgeon to operate through small incisions and redirect blood away from the abdominal aortic aneurysm, restoring blood flow through your aorta and to the rest of your body.
Advanced repair for AAAs
An abdominal aortic aneurysm occurs when the wall of your aorta develops a bulge or aneurysm.
The aorta is your body’s largest artery, carrying blood to the abdomen, pelvis and legs. AAAs develop in the abdominal aorta, the portion of the aorta that passes through your belly. Aortic aneurysms disrupt the natural flow of blood to the abdomen, and EVAR prevents serious and even life-threatening consequences.
A similar procedure to EVAR, called thoracic endovascular aortic repair, is also available for people with thoracic aneurysms, which develop in the section of the aorta that travels through the chest.
Options for aneurysm repair
If you have an AAA, your vascular surgeon will likely recommend aneurysm surgery to prevent it from rupturing or tearing, which is known as aortic dissection.
The EVAR procedure can successfully treat many AAAs and can be a good option for people who can’t have an open aneurysm repair.
During EVAR, your vascular surgeon repairs your aneurysm through a small incision in the groin. The surgeon starts by inserting a thin tube called a catheter through the incision and guiding it to your aneurysm. The surgeon then sends a guide wire and a tiny mesh tube called a stent graft through the catheter. Once they’ve reached the aneurysm, your surgeon positions the stent graft in the aorta to direct blood flow away from the aneurysm.
A more complex form of EVAR called fenestrated EVAR, or FEVAR, works similarly. This procedure involves a graft designed to match the aorta and allows blood to flow through arteries that branch off the aorta.
FEVAR is a more complicated procedure than EVAR. While EVAR typically takes up to 2.5 hours to perform, FEVAR can take as long as eight hours.
Who is a candidate for endovascular aneurysm repair?
Your vascular surgeon will consider many factors when determining whether you’re a candidate for EVAR or another surgery, including:
- Other health conditions you may have
- The anatomy of your arteries
- The size and location of your aneurysm
- Whether you have symptoms
- Whether your aneurysm is expanding quickly
Benefits of EVAR
EVAR lowers the risk of aortic dissection when a tear develops in the inner layer of the aorta. As the stent graft strengthens the damaged area of the artery, less pressure is placed on the aneurysm, reducing the chances that it will rupture or tear.
EVAR and endograft repair are also minimally invasive procedures, which means the surgeon operates through several tiny incisions rather than the single large incision used in open heart surgeries.
Benefits of minimally invasive procedures over open heart surgeries include:
- Faster discharge from the hospital
- Faster recovery
- Fewer complications
- Less bleeding
What to expect during an EVAR procedure
Your care team will provide instructions about what to do in the days and weeks before your EVAR procedure. These instructions will include guidance about whether to take your medications and when to stop eating before the surgery.
Following AAA repair, you will typically remain in the hospital the next day for observation with minimally invasive procedures and a few days post-operation if undergoing an open surgery. Your vascular surgeon and other providers will monitor you for any potential signs of infection or other complications.
As you recover in the hospital, you'll be encouraged to get up and move around as soon as you can safely do so. When you're discharged, you'll receive another set of instructions to guide your at-home care.
Pay careful attention to these guidelines, including when you can resume normal activities, including work.
You can trust that your surgical team has your best interests at heart. Your surgeon can answer any questions you have, so you feel confident in your care.
Find a location near you
You can have EVAR and other forms of vascular surgery with an experienced team at our heart and vascular hospitals. You can receive comprehensive follow-up care at our many North and Central Texas locations. We want to ensure you continue receiving care at a location close to home.
AccentCare - Fort Worth
3880 Hulen St , Fort Worth, TX, 76107
AccentCare Home Health of Brenham
526 W Main St , Brenham, TX, 77833
AccentCare Home Health of College Station
119 Medical Park Lane Ste C, Huntsville, TX, 77340
AccentCare Home Health of College Station
1605 Rock Prairie Rd Ste 206, College Station, TX, 77845
AccentCare Home Health Of Denton
225 W. Mulberry St. Ste A, Denton, TX, 76201
AccentCare Home Health Of Desoto
911 York Drive Ste 203, DeSoto, TX, 75115
AccentCare Home Health Of Fort Worth (Arlington)
700 Highlander Blvd Ste 205, Arlington, TX, 76015
AccentCare Home Health of Huntsville
122 Medical Park Lane B , Huntsville, TX, 77340
AccentCare Home Health of Marble Falls
1100 Mission Hills Dr Ste 100, Marble Falls, TX, 78654
AccentCare Home Health Of McKinney
6800 Weiskopf Ave Ste 100, McKinney, TX, 75070
AccentCare Home Health Of Taylor (Hutto)
567 Chris Kelley Blvd Ste 201, Hutto, TX, 78634
AccentCare Home Health Of Temple
3809 S General Bruce Dr Ste 105B, Temple, TX, 76502
AccentCare Home Health Of Waco
8300 Central Park Dr Ste A, Waco, TX, 76712
AdventHealth Central Texas
2201 S Clear Creek Rd , Killeen, TX, 76549
Andrews Women's Hospital at Baylor Scott & White - Fort Worth
1400 8th Ave , Fort Worth, TX, 76104
Baylor Scott & White - Hillcrest Infectious Disease Clinic
50 Hillcrest Medical Blvd MOB1, Ste 104, Waco, TX, 76712
Baylor Scott & White - Plano Brain and Spine Center
4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093
Baylor Scott & White - Texas Brain and Spine Institute
900 Scott and White Dr , College Station, TX, 77845
- Monday: 8:00 am - 5:00 pm
- Tuesday: 8:00 am - 5:00 pm
- Wednesday: 8:00 am - 5:00 pm
- Thursday: 8:00 am - 5:00 pm
- Friday: 8:00 am - 5:00 pm
Baylor Scott & White - Texas Brain and Spine Institute - Huntsville
122 Medical Park Ln Ste A, Huntsville, TX, 77340
Baylor Scott & White - The Brenham Clinic
600 N Park St , Brenham, TX, 77833
- Monday: 7:30 am - 5:00 pm
- Tuesday: 7:30 am - 5:00 pm
- Wednesday: 7:30 am - 5:00 pm
- Thursday: 7:30 am - 5:00 pm
- Friday: 7:30 am - 5:00 pm
Baylor Scott & White 65+ Clinic
4716 Alliance Blvd Ste 500, Plano, TX, 75093
- Monday: 8:00 am - 4:30 pm
- Tuesday: 8:00 am - 4:30 pm
- Wednesday: 8:00 am - 4:30 pm
- Thursday: 8:00 am - 4:30 pm
- Friday: 8:00 am - 4:30 pm
Baylor Scott & White Advanced Cardiac Imaging Specialists
1100 Allied Dr , Plano, TX, 75093
Baylor Scott & White Advanced Cardiovascular and Imaging Consultants
4708 Alliance Blvd Ste 450, Plano, TX, 75093
Baylor Scott & White Advanced Digestive Care
3434 Swiss Ave Ste 200, Dallas, TX, 75204
- Monday: 8:00 am - 5:00 pm
- Tuesday: 8:00 am - 5:00 pm
- Wednesday: 8:00 am - 5:00 pm
- Thursday: 8:00 am - 5:00 pm
- Friday: 8:00 am - 5:00 pm
Baylor Scott & White Advanced Heart and Lung Disease Center - Fort Worth
1420 8th Ave Ste 103, Fort Worth, TX, 76104
Baylor Scott & White Advanced Heart Care - Anna
450 N Standridge Blvd , Anna, TX, 75409
Baylor Scott & White Advanced Heart Care - Decatur
2401 S FM 51 Ste 200, Decatur, TX, 76234
Baylor Scott & White Advanced Heart Care - Denton
3333 Colorado Blvd , Denton, TX, 76210
Baylor Scott & White Advanced Heart Care - Idabel, OK
4 SE Avenue A , Idabel, OK, 74745
Baylor Scott & White Advanced Heart Care - Keller (Satellite)
3124 N Tarrant Pkwy Ste 204, Keller, TX, 76177
Baylor Scott & White Advanced Heart Care - McKinney (Satellite)
5236 W University Dr Ste 4450, McKinney, TX, 75482
Baylor Scott & White Advanced Heart Care - Mt Pleasant (Satellite)
1011 N Jefferson Ave , Mt Pleasant, TX, 75455
Baylor Scott & White Advanced Heart Care - Paris
875 S Collegiate Dr , Paris, TX, 75462
Baylor Scott & White Advanced Heart Care - Plano
4716 Dexter Dr Ste 100, Plano, TX, 75093
Baylor Scott & White Advanced Heart Care - Sherman Sycamore (Satellite)
203 E Sycamore St , Sherman, TX, 75090
Baylor Scott & White Advanced Heart Care - Sulphur Springs
601 Airport Rd Ste 110, Sulphur Springs, TX, 75482
Baylor Scott & White Advanced Heart Care – Sherman Highland (Satellite)
300 N Highland Ave , Sherman, TX, 75092
Baylor Scott & White Advanced Heart Failure Clinic - Irving
2001 N MacArthur Blvd Bldg 1, Ste 360, Irving, TX, 75061
Baylor Scott & White Advanced Heart Failure Clinic - Abilene
1219 E South 11th St Ste B2, Abilene, TX, 79602
Baylor Scott & White Advanced Heart Failure Clinic - Amarillo
1901 Medi Park Dr Ste 2051, Amarillo, TX, 79106
Baylor Scott & White Advanced Heart Failure Clinic - Dallas
3410 Worth St Ste 250, Dallas, TX, 75246
- Monday: 8:00 am - 4:30 pm
- Tuesday: 8:00 am - 4:30 pm
- Wednesday: 8:00 am - 4:30 pm
- Thursday: 8:00 am - 4:30 pm
- Friday: 8:00 am - 4:30 pm
Baylor Scott & White Advanced Heart Failure Clinic - Longview
906 Judson Rd , Longview, TX, 75601
Baylor Scott & White Advanced Heart Failure Clinic - Lubbock
3711 22nd St Ste B, Lubbock, TX, 79410
Baylor Scott & White Advanced Heart Failure Clinic - Midland/Odessa
420 E 6th St Ste 102, Odessa, TX, 79761
Baylor Scott & White Advanced Heart Failure Clinic - Tyler
1321 S Beckham Ave , Tyler, TX, 75701
Baylor Scott & White Advanced Heart Failure Clinic - Waxahachie
2360 N Interstate 35E MOB 2, Ste 310, Waxahachie, TX, 75165
Baylor Scott & White Advanced Heart Failure Specialists - Fort Worth
1250 8th Ave Ste 200, Fort Worth, TX, 76104
- Monday: 8:00 am - 5:00 pm
- Tuesday: 8:00 am - 5:00 pm
- Wednesday: 8:00 am - 5:00 pm
- Thursday: 8:00 am - 5:00 pm
- Friday: 8:00 am - 5:00 pm
Baylor Scott & White Advanced Lung Disease Specialists - Dallas
3410 Worth St Ste 250, Dallas, TX, 75246
- Monday: 8:30 am - 5:00 pm
- Tuesday: 8:30 am - 5:00 pm
- Wednesday: 8:30 am - 5:00 pm
- Thursday: 8:30 am - 5:00 pm
- Friday: 8:30 am - 4:30 pm
Baylor Scott & White All Saints Medical Center - Fort Worth
1400 8th Ave , Fort Worth, TX, 76104
Baylor Scott & White Ambulatory Endoscopy Center
4708 Alliance Blvd Pavilion I, Ste 210, Plano, TX, 75093
- Monday: 7:00 am - 3:00 pm
- Tuesday: 7:00 am - 3:00 pm
- Wednesday: 7:00 am - 3:00 pm
- Thursday: 7:00 am - 3:00 pm
- Friday: 7:00 am - 3:00 pm