What is minimally invasive endovascular repair

Endovascular repair is a popular minimally invasive procedure for the treatment of aortic aneurysms. As the name suggests, “endovascular” means “inside or within a blood vessel. Instead of making a large incision in the abdomen, the vascular surgeon simply makes a small incision near the groin to enter the femoral artery lumen, through which the aortic aneurysm stenting system is pushed into the artery and placed in the aorta. The aneurysm-covered stenting system isolates the aneurysm from the aorta and creates a new pathway for the blood to flow through the aneurysm, and the stenting system stays permanently in the aorta. The endovascular repair procedure usually takes 1 to 3 hours to complete. Because it is an endovascular repair, the incision is smaller than that of an open surgical repair, and therefore may result in less pain, shorter hospitalization, and a faster postoperative recovery process. Patients may only need to be hospitalized for a few days 3-5 days and are usually able to return to normal activities within 2 weeks after the procedure. With the widespread use of vascular staplers in recent years, more and more patients can be saved from having to make an incision in the groin. After the femoral artery is punctured in the groin to place an aortic coated stent, the femoral artery puncture hole can be closed directly with a vascular stapler, so that there is only a small wound in the groin with a diameter of about 0.8-1 cm, which is even less invasive! Like any other surgery, endovascular repair carries the risk of complications, so regular follow-up examinations in the hospital are also required after endovascular repair. The follow-up examinations allow you to evaluate the repair procedure and monitor the effectiveness of the treatment.