Endovascular treatment of abdominal aortic aneurysms

Description of the endovascular treatment of abdominal aortic aneurysms

The aorta is the largest artery in the body. The abdominal aorta below the diaphragm. It carries the blood into the peritoneal cavity, pelvis Foot and. Sometimes the walls of the aorta weaken and bulge in a certain region. This is called abdominal aortic aneurysm (ABA). When the aneurysm reaches a large size, its treatment may be required. Endovascular treatment of the aneurysm of the abdominal aorta is carried out on the inner part of the artery. The doctor inserts the graft to an aneurysm to strengthen it.

Reasons for the endovascular treatment of abdominal aortic aneurysms

This procedure is often done, to cure the ABA, kogda aneurysm:

• Causes physical complications (eg, stomach ache);
• It is the cause complications (eg, there are blood clots in the legs);
• Reaches a certain size and position, that become life-threatening;
• Имеет разрыв – операция должна быть сделана немедленно.

The procedure is now the preferred method of treatment ABA. Endovascular treatment of abdominal aortic aneurysms can reduce pain, reduces hospital stay, causes fewer complications, and reduces recovery time compared with open surgery. Nonetheless, after surgery need to monitor the patient's condition.

Possible complications of endovascular treatment of abdominal aortic aneurysms

If you plan to endovascular procedure, you need to know about possible complications, which may include:

• Adverse reaction to anesthesia;
• Infection;
• Bruising or bleeding;
• Damage to the blood vessels and organs (perhaps, requiring open surgery);
• Leakage of blood in the graft;
• Heart attack;
• Blood clots.

Factors, that may increase the risk of complications:

• Smoking;
• Recent or active infection;
• Recent or chronic illness (eg, kidney disease);
• Diabetes;
• Old age;
• Heart or lung disease;
• Bleeding or clotting disorders.

How is the endovascular treatment of abdominal aortic aneurysms?

Preparation for the procedure

Before the operation can be carried out:

• Inspection, blood tests, and pictures of internal organs (eg, Computer tomography of the abdomen);
• The study of medical history, including allergies, clarified to take medication, blood clotting, Other problems;
• You need to meet with an anesthesiologist.

Before the procedure:

• Do not eat or drink anything for eight hours before the procedure;
• Consult your doctor about the drugs taken. A week before surgery you may be asked to stop taking some medicines:
  • Anti-inflammatory drugs (eg, aspirin);
  • Blood thinners, such as clopidogrel or warfarin.

Anesthesia

The doctor may use the following types of anesthesia:

• Общий наркоз – погружает в сон весь организм;
• Региональная анестезия – блокирует боль в определенной части тела, It may be used in conjunction with a sedative.

Procedure endovascular treatment of abdominal aortic aneurysms

You will lie on your back. Through an IV administered drug, to relieve pain and relax. After you fall asleep and begin to act sedatives, throat and lungs breathing tube will be inserted. Sometimes appointed regional anesthesia. In this case, do not need a breathing tube.

The doctor makes a small incision on both sides of the groin. Kateterы (thin tube) They are inserted into blood vessels and summed up to the aneurysm. Through a catheter is introduced contrast agent. The doctor guides the catheter through another transplant anevrizme.Transplantat to be placed in a zone of weakness, and disclosed to the size of the aorta. To control every step of operation, the doctor will use X-ray images in real time. Will be constantly monitoring your vital signs. After, transplant will be installed on site, the doctor removes the catheter. The incisions will be sewn, and they will apply a sterile dressing.

Immediately after surgery

You will be directed to the intensive care (ORIT). If you used the breathing tube, it will be removed. Vital signs will be monitored closely.

How long will the endovascular treatment of abdominal aortic aneurysms?

About 2-3 hours.

Эндоваскулярное лечение аневризмы брюшной аорты – будет ли это больно?

Anesthesia will prevent pain during the procedure. The doctor will give you medicine, to reduce the pain during the recovery process. There may be slight discomfort at the site of the cuts in the groin.

The average hospital stay

Usually the duration of stay of 1-2 day. The doctor can extend the hospital stay, if necessary.

Care after endovascular treatment of abdominal aortic aneurysms

Care in a hospital

• Gradually, the need to increase the level of activity and try to move;
• Gradually return to consume solid foods, if possible.

Home Care

When you return home, Follow these steps:, to ensure the normal recovery:

• Keep the incision site clean and dry. Follow your doctor's instructions for changing the bandage;
• Ask the doctor, when it is safe to shower, bathe, or to expose the surgical site to water;
• Take pain medicine as intended;
• Ask your doctor, what activities are safe for you;
• Your condition should be closely monitored. To do this regularly visit hospital.

Contact your doctor after endovascular treatment of abdominal aortic aneurysms

After discharge from the hospital need to see a doctor, If the following symptoms:

• Redness, edema, increased pain, bleeding or discharge from the incision;
• Signs of infection, including fever and chills;
• Constant pain in the abdomen;
• Backache;
• Any change of color or sensation in the legs or feet;
• Burning, pain or problems with urination;
• Nausea and vomiting;
• Abdominal cramps and diarrhea;
• Causeless tiredness or depression;
• Disorientation or confusion;
• Numbness or tingling in the legs;
• Cough;
• Other painful symptoms.

We must immediately call an ambulance or go to the hospital, If there:

• Breathlessness;
• Chest pain.