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This is the standard approach to repairing aneurysms and requires a long incision. During an open repair, our surgeon removes the weakened part of the aorta and sews an artificial tube-shaped artificial graft into place to allow proper blood flow. Depending on the case, patients typically spend a few days in the hospital and fully recover within six weeks to three months.
In open repair, our surgeon accesses the aneurysm through a long abdominal incision and sews the artificial graft into place to maintain proper blood flow.
Endovascular means the treatment is done from within the blood vessel. Our physician inserts a long, thin catheter into a vessel in the groin and then threads it up into the aorta. A small, flexible tube — called a stent or endograft — is guided through the catheter and inserted into the aorta to strengthen it. These procedures are performed in our state-of-the-art endovascular suite that is equipped with the latest imaging technology.
In an endovascular aneurysm repair, the artificial stent graft is inserted into an artery through a catheter and is then placed within the aorta to reinforce the vessel walls.
Because endovascular repair does not require large incisions, the hospital stay is only one to two days and recovery is much quicker than open repair. Patients who undergo endovascular aneurysm repair will need regular follow-up visits for CT imaging exams to make sure that the graft is working properly. While endovascular repair is a good option for many people, it is associated with a greater need for maintenance procedures than open aneurysm surgery.
For aneurysms that cannot be repaired through endovascular techniques alone, our vascular surgeons also offer hybrids repairs — featuring a combination of endovascular stenting and open repair. Often, hybrid procedures can be custom designed for the patient in an effort to decrease size of the incision and duration of the procedure in order to improve recovery and ensure the best possible outcome.