CENTER FOR AORTIC DISEASES
Contact Us:
1-855-808-2223
  • Welcome
  • Our Team
    • Mark J. Russo, MD, MS - Cardiovascular Surgery
    • Ross Milner, MD - Vascular Surgery
    • Darwin Eton, MD - Vascular Surgery
    • Christopher Skelly, MD - Vascular Surgery
    • Robert Steppacher, MD - Vascular Surgery
    • Marion Hofmann-Bowman, MD, PhD - Cardiology
    • Elizabeth McNally, MD, PhD - Cardiology
    • Roberto Lang, MD - Cardiology
    • Karin Dill, MD - Cardiovascular Imaging
  • Aorta
    • Aortic Valve
    • Aortic Root
    • Ascending Aorta
    • Aortic Arch
    • Descending Aorta
    • Abdominal Aorta
  • Conditions
    • Aortic Aneurysms>
      • Ascending Aortic Aneurysm
      • Descending (Thoracic) Aortic Aneurysm
      • Abdominal Aortic Aneurysm
    • Aortic Dissection
    • Aortic Insufficiency
    • Aortic Stenosis
    • Biscuspid Aortic Valve
    • Connective Tissue Disease
    • Endocarditis
  • Treatments
    • Antegrade Cerebral Perfusion
    • Aortic Valve Repair and Replacement
    • Biological Composite Grafts
    • Endovascular Stent Graft and Hybrid Procedures
    • Homograft
    • Minimally Invasive Aortic Surgery
    • Ross Procedure
    • Transcatheter Valve Therapies
    • Valve-Sparing Root (David Procedure)
  • For Patients
    • Ask Our Experts
    • Request an Appointment
    • Second Opinion Program
    • What to Expect>
      • Overview
      • Outpatient Visit
      • Prior to Surgery
      • After Surgery
    • Patient Education
    • Resources>
      • Videos>
        • Patient Experience - Connie's Testimonial
        • EVAR Video
        • Transcatheter Aortic Valve Implantation Animation - Transfemoral
  • For MDs
    • Ask Our Experts
    • Physician Outreach Team
    • Referrals
    • Resources>
      • CME: Emerging Technologies for the Treatment of Structural Heart Disease 02/2012
      • The Doctors Guide to Patient Survival after Acute Aortic Dissection
    • Dr. Milner's Vascular Surgery Blog
  • FAQ
    • Aortic Aneurysm FAQ>
      • What is an aortic aneurysm?
      • Is an aortic aneurysm dangerous?
      • Should I be screened for an aortic condition?
      • What are the symptoms of aortic aneurysm?
      • When is surgery recommended for an enlarged aorta or aortic aneurysm?
      • How do I prevent an aortic dissection and/or further growth of my aneurysm?
      • Can I still exercise if I have an enlarged aorta, an aortic aneurysm, or a chronic aortic dissection?
      • If I do not have symptoms, why do I need surgery?
      • I do not need surgery, how frequently do I need see my doctor?
    • Aortic Dissection FAQ>
      • What is an aortic dissection?
      • Is an aortic dissection dangerous?
      • What are risk factors for aortic disease, including aortic dissection and/or aortic aneurysm
      • How do I prevent an aortic dissection and/or further growth of my aneurysm?
      • Can I still exercise if I have an enlarged aorta, an aortic aneurysm, or a chronic aortic dissection?
    • Aortic Stenosis FAQ>
      • What is aortic valve stenosis?
      • How common is aortic valve stenosis?
      • What is the treatment for aortic stenosis?
      • What is the treatment for inoperable aortic stenosis?
    • What is transcatheter aortic valve implantation (TAVI)?
  • News
    • Research
    • Publications
    • Upcoming Presentations
    • [Login]
  • Contact
    • Request an Appointment Online
    • About UCMC
    • Maps and Directions
    • Privacy

What is an Endovascular Aneurysm Repair?

_An endovascular stent graft repair is a treatment for aneurysms of the descending (thoracic and abdominal) aorta.  It is similar to the approach used for a cardiac catheterization of the coronary arteries.  This procedure requires only small incisions in the groin. Then the surgeon inserts a catheter through the femoral artery in the groin and  with the use of x-ray guidance and specially-designed instruments, the aneurysm can be repaired from inside the aorta by inserting a tube, called a stent-graft.  This is possible because the tube, or stent graft, is delivered through the catheter in a collapsed state and then expanded at the site of the aneurysm.
  
Picture
Endovascular repair of a descending aortic aneurysm
The tube replaces and reinforces the diseased aortic wall, ensuring continuity of blood flow while preventing further expansion of the aorta, aortic rupture, and/or aortic dissection.   

The potential benefits of the procedure include greatly reduced risk, a shorter hospital stay, and a more rapid recovery.

Animation of Endovascular Stent Repair
Courtesy of Medtronic

What is an Hybrid Aortic Procedure?

_Not all aneurysms can be repaired by means of endovascular stenting alone. Hybrid procedures use endovascular stenting along with open surgery to take advantage of the benefits of each while minimizing the limitations and related risks.  Often, hybrid procedures can be custom designed for the patient in an effort to decrease size of the incision, duration of the procedure, and avoid the need to stop blood flow to the heart and/or brain. This is intended to  improve recovery and ensure the best possible outcome for the patient.

Picture
Hybrid repair with debranching of the aorta using a carotid subclavian bypass and thoracic endovascular stent graft for an arch and descending thoracic aortic aneurysm

How Can We Help You?
  • Find a cardiologist or heart surgeon
  • Request an appointment with a heart care expert
  • Request a second opinion
  • Find a clinical trial

________________________

Ask Our Experts
Submit your non-urgent questions regarding your aortic,  heart, and vascular conditions via email to our expert team of doctors.
________________________

Preparation
  • Preparing for Your Appointment
  • Preparing for Your Surgery
  • Preparing for Your Hospital Stay
  • Things to Consider
________________________

Related Links
  • Insurance Plans
  • Medical Records Request
  • Directions and Maps
  • For Your Appointment

_________________________

FAQ
  • What is an aortic aneurysm?
  • Is an aortic aneurysm dangerous?
  • Should I also be screened for an aortic condition?
  • Can I still exercise if I have an aortic aneurysm?
  • If I do not have symptoms, why do I need surgery?
  • How do I prevent an aortic dissection and/or further growth of my aneurysm?
  • When is surgery recommended for an enlarged aorta or aortic aneurysm?
  • I do not need surgery, how frequently do I need see my doctor?
_________________________

In the News

Univ of Chicago first in Chicago to perform post-trial transcatheter aortic valve replacement
 
Team effort key to first post-FDA approval TAVI case in Chicago

Dr. Milner discusses  collaboration  in the management of aortic disease

Dr. Hofmann-Bowman receives research grant from National Marfan Foundation to study aortic disease 
 
Dr. Russo receives the Presidents Award from the Society of Thoracic Surgeons 
 

_Another example of a two-stage approach.  Using a minimally invasive  endovascular technique, greatly minimizes hepatic,  intestinal and renal ischemia-reperfusion injury while  effectively repairing this complex aortic aneurysm. The case illustrates the unique expertise afforded by the UCCAD team in dealing with straightforward, as well as complex,  aortic pathology in proximity to or involving the aortic branches.

The images to the left depict the aneurysm before and after intervention of a 68-year-old male found to have a large 6 cm dumbbell-shaped aortic aneurysm involving the celiac, superior  mesenteric and renal arteries (Figure 1, prior to repair).  The aortic aneurysm was treated using a two-stage  strategy. First the visceral vessels blood supply was  rerouted via a bypass with four limbs from the common  iliac artery, thereby debranching the aneurysm. This prepared the aortic aneurysm for eventual exclusion with  stent grafting from the distal thoracic aorta to the iliac  artery (Figure 2, following repair). The patient had an  uncomplicated recovery and quickly returned to his usual daily activities.
Picture
Hybrid repair with debranching of the mesenterica vessels and endovascular stent graft for an descending aortic aneurysm

© Copyright Center for Aortic Diseases | 5841 S. Maryland Avenue | Chicago, IL 60637 | 1-855-808-2223 | 2012 - All Rights Reserved