An aneurysm is a bulge in a blood vessel caused by excessive pressure. An aneurysm that ruptures can be fatal.
In addition to endovascular aneurysm repair, CARE Hospitals has developed numerous aneurysm therapies. A minimally invasive aneurysm treatment is provided here by specialists who are skilled and come with vast knowledge. At CARE Hospitals, you can experience;
New therapies: We have worked for a decade to understand the causes of aneurysms and try to develop new treatments.
The outcomes of our care are excellent: Every year, we treat more than 150 patients with aortic aneurysm disease. Many of whom are in need of highly complex treatment.
Patients at the CARE Hospitals receive personal attention from the vascular surgeons. The risks and benefits of treatment are explained to you in detail and we listen carefully to what you say.
A second opinion can still be obtained at our vascular surgery practice even if you have been evaluated elsewhere. Our goal is to help you make an informed decision about your treatment.
Types of Aneurysms
Aneurysms can be classified into three types:
Brain aneurysms - occur as a result of the vessels in the brain weakening and bulging above the aorta.
Thoracic aortic aneurysms - These occur in the part of the aorta that passes through the chest.
Triple-A aneurysms of the abdominal aorta are the most common. The aorta ruptures when blood pressure increases against its wall.
In most cases, aneurysms occur in the aorta, but they can occur in any blood vessel. Types of aneurysms we treat include:
An abdominal aortic aneurysm (AAA): It is a bulge in the aorta that runs through the belly.
Thoracic aortic aneurysm (TAA): It occurs in the ascending aorta of the chest sometimes associated with genetic disorders.
A thoracoabdominal aneurysm occurs in the section of the aorta that extends from the chest into the belly, affecting both areas.
Mesenteric and renal aneurysms: They are vascular diseases that affect the intestines and kidneys and cause weak spots or bulges in the arteries carrying blood to those organs.
Aneurysms of the femoral and popliteal arteries occur within the thigh (femoral artery), knee or calf (popliteal artery).
Brain aneurysms are bulges or balloons in the vessels of the brain.
Treatment and surgery of Aneurysm
Aneurysms do not always need to be surgically repaired right away. You might need regular scans to monitor an aneurysm’s growth.
An endovascular treatment will most likely be used when you need aneurysm treatment. For those who don’t qualify for minimally invasive surgery, we perform open surgery. A multidisciplinary team approach is employed when an aneurysm involves long stretches of the aorta.
EVAR (Endovascular Aneurysm Repair)
With X-ray images as guides, our surgeons can repair an aneurysm from inside a blood vessel.
(Patients typically stay in the hospital only for one night following EVAR. After EVAR, you leave the hospital for good within a few days. You can resume your normal activities within two to three weeks.)
FEVAR (Fensavascular Aneurysm Repair)
Aneurysms of the abdominal aorta that are close to the kidney arteries can be treated using this technique.
(As a result, a traditional stent would block blood flow to the kidneys. Rather, we use custom-made fenestrated stents. The stented graft has small holes called fenestrations. These openings are strategically positioned to prevent the aneurysm from rupturing or growing while allowing blood to flow to your kidneys.)
TEVAR (Thoracic Endovascular Aneurysm Repair)
Ascending aortic aneurysms and dissections are treated with TEVAR.
The TEVAR stent is used to treat aneurysms or tears in the aorta. The repair closes or prevents a rupture of the aorta by diverting blood flow and allowing the aorta to heal.
(Instead of inserting a catheter in your groin, our vascular surgeon may choose to insert it through blood vessels in the wrist to access a weakened portion of the ascending aorta.)
Aneurysm Repair By Open Surgery
Aneurysms cannot be repaired using endovascular techniques in some patients because of their individual anatomy or diseases affecting collagen (connective tissue). In such cases, we perform open aneurysm repair.
In the past, open aneurysm repairs have been performed by surgeons. Having treated so many patients, we have vascular surgeons with extensive experience and expertise in open repair. Typically, you stay in the hospital for five to seven days after open surgery for an aortic aneurysm. You then recover at home and the recovery time is four to six weeks.
Aneurysms remain undetected in the majority of cases. The diagnosis of an aneurysm is usually based on the history, the examination, and the medical investigations. Aneurysms can sometimes be discovered by accident during an investigation for other reasons.
It is generally not recommended to screen everyone. However, screening is recommended for men between the ages of 65 to 75, who are regular smokers.
An aneurysm cannot be detected by a routine exam. In order to evaluate an aneurysm completely, our physician may order:
Ultrasound is a non-invasive technique that uses sound waves to produce images of your aorta.
The chest X-ray is used to examine the heart and the chest and reveal aneurysms.
Transthoracic echocardiography (TTE) is a medical imaging procedure that uses sound waves to create images of your heart and aorta.
A transoesophageal echo (TEE) provides images of your heart and aorta through a wand inserted in your esophagus (the tube connecting your throat to your stomach).
MRI and CT scans create 2D and 3D images of your aorta and blood vessels.
CARE Hospitals Support:
The CARE Hospitals provides specialized, individualized therapeutic and emergency care to patients with symptoms of aneurysms. We are dedicated to providing the best diagnosis, treatment, care, and outcomes. Patients will often see the right specialist in one appointment, rather than returning for multiple separate appointments with different specialists.
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