Aortic Stenting (Endovascular Aneurysm Repair)

Aortic Stenting is now firmly established as a valid treatment option for the management of selected Abdominal Aortic Aneurysm (AAA) and selected Thoracic Aortic Aneurysm.

The indication and intervention in AAA and Thoracic Aortic Aneurysm remain the same as open surgery – to avoid the risk of a sudden rupture.

A rupture is a life-threatening medical emergency that requires immediate surgery. About half of men who have a sudden rupture die shortly afterward. The rupture presents with sudden onset of sharp pain and often patient will collapse. These are the main factors that make a rupture more likely:

  • The aneurysm is larger than 5.5 cm in diameter.
  • The aneurysm has grown quickly (more than 0.5 cm in six months or more than 1 cm in one year).
  • The aneurysm is causing symptoms such as pain in the back, stomach, or sides.

The risk of rupture within one year of an Abdominal Aortic Aneurysm that is over 5.5 cm in diameter is about 3 to 6 out of 100 patients. That’s why preventive treatment either with the insertion of catheter-based stenting or if that is not possible, surgery is often recommended.

Peripheral Vascular Surgery
  • Assessment of peripheral vascular disease and treatment
  • Axillo-femoral bypass
  • Femoral-femoral bypass
  • Femoral-popliteal bypass
  • Vascular repair for traumatic injury
  • AV fistula construction for haemo-dialysis
  • Limb salvage vascular surgery
  • Carotid endarterectomy

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