Endovascular repair is a preferred treatment for many people with an abdominal aortic aneurysm (AAA), and offers an alternative for people who do not qualify for open surgery
When you come in to be treated for an AAA, your doctor will talk to you about your medical history and perform diagnosis testing, which could include an abdominal ultrasound and/or a computed tomographic angiography (CTA). Imaging will help determine the optimal type of repair.
In deciding whether to recommend repair your interventional radiologist (IR) will consider the size of the aneurysm, it’s location, how fast it is growing, how complicated it is to repair and your overall health. There are two classifications depending on the location of the AAA:
Candidates for endovascular aneurysm repair (EVAR) have aneurysms that meet the following criteria:
When you come in for your EVAR, you will either have local anesthesia with sedation, or general anesthesia – whatever you and your interventional radiologist (IR) have discussed prior to the procedure. Your IR will make surgical incisions in the groin on both sides. Guided by x-ray images, a thin tube called a catheter is inserted and advanced to the aneurysm site. A guide wire and an expandable stent graft (fabric-covered wire frame) are advanced through the catheter. When it is positioned correctly, the stent graft is allowed to expand within the artery. The wire frame pushes against the healthy portion of the aorta to seal the graft in place. Once in place, blood will flow through the stent graft and can not enter the aneurysm.
The procedure usually takes 2 hours to complete and most patients will leave the hospital within a day.
Unlike traditional open surgical repair, EVAR is minimally invasive, which can mean a shorter recovery time for most people. Patients can typically return to normal activities within a few weeks and will schedule a follow-up with their IR one month after the procedure.
As with any surgical procedure, there are risks. Complications associated with endovascular stent grafting include:
Endovascular stent grafting is not for everyone. Your aortic aneurysm may not have the right shape, or it may be too close to other organs. Your doctor or vascular surgeon will help you decide whether endovascular stent grafting is the best treatment option for you. Call IVC today at 503-612-0498 to schedule an appointment for a consultation.
This is for Dr. Pfister. I just wanted to thank him for all the time he spent with us the other week. In all the years I’ve had my vascular problems I’ve never had a doctor really sit down and explain to me the intricacies of what might be going on. I have a lot to think about…but just wanted to say thanks for being so nice and answering our many questions!L.H.
A fantastic group of wonderful people. The procedure was very smooth. When they were putting the port in I felt like I was getting a great massage!! Thank you all!S.C.
Charley was instrumental in getting me scheduled in quickly to get my PICC line removed. She actually worked until late in the day to get the information from my referring doctor’s office. It is nice to know great people like Charley still exist in this world!K.S.
I had my blood clot filter removed on 2/21/18. I was very apprehensive, yet EVERYONE in Dr. Pfister’s office and surgical team helped to make me comfortable. I am extremely claustrophobic so laying down or having something covering my face creates anxiety. Mary Anne listened to my concerns and made sure I was made comfortable and did not feel anxious. The surgical team was amazing, they explained everything thoroughly. Dr. Pfister came in after the procedure to review what he did and discuss any follow up that might be required. I so appreciate the time and attention he gives me as his patient. This was a positive experience.G.H.
110% Thank You! Best unit so far in my cancer treatment. Thanks Dr. LoveAnonymous
If you ever need an Interventional Radiologist for a child I realize it is serious business. I’ve seen Dr. Love go and save a child’s kidney without missing a beat. I could recommend no one better for myself, or for people I love. I think he is a little cool at the bedside, but that’s OK Dr. Love, stay frosty! If you can’t see Dr. Love, one of the other professionals at IVC will be able to help you. Ashley, the dynamite scheduler and one of the other surgeons at IVC will care for you. I’ve had multiple surgeries with this practice over the past several years. Never a hiccup!S. R. – Portland, OR
Great experience, doctor was thorough in explaining what was going to happen. The nurses were very attentive and made sure I was comfortable and my needs were met. I would recommend this office for any related procedure.Anonymous
Everything went very smoothly. Joe enjoyed the music. Very friendly staff! Good Experience!J. & E.
All staff was courteous and efficient. Good experience.J. J.
Dr. Pfister, thanks so much for your excellent care, removing my chemo port earlier this week. With all your experience and your fine touch, I’m confident the scar will be nearly invisible. Your team, from beginning to end, did a super job with me. Please extend my gratitude to Jennifer, Mary Anne, Todd and Charley. I’ve got a whole lot of living left to do. I appreciate all of you helping me do it!M. F.
Dr. Pfister, thank you for all of the attention you gave to me. I learned lots from our discussion – hearing you speak of ultimate healing was enough to encourage me to do all I can to strengthen those muscles.S. O.
The entire office is one of the most professional, helpful and informative medical offices I have dealt with (and I have dealt with many). Kudos to Jennifer, Henry, and Charley!K. C.
Great people. Great place. Good surgery.G. G.
Patty, Mary Anne and the whole staff was amazing! Best experience I’ve had since being diagnosed with cancer. From start to finish, was great. Thanks.M
My brother came into Legacy Meridian Park, had a stroke. Dr. Bauer came in immediately, in his work jeans and shirt. He worked with Neurologist Dr. Burbank, developed a plan and took my brother into a procedure where they removed the clot from his head! Very down to earth doctor, explained procedure to family, worked with sense of urgency.J. P.
I want to comment regarding Dr. Bauer of how he was thorough explaining my CT Biopsy and showing me how on the computer he would get the tissue needed. In all the years of several surgeries I have never felt better going in to have a procedure done. His bedside manner was incredible. I wish all doctors were like Dr. Bauer. Thank you for preparing and relaxing me prior to the biopsy.R.S. Molalla OR
Everyone did a superb job taking care of me and doing the procedure. Thank You AllK.S.
Dr. Bauer genuinely cares about his patients and strives to make sure they understand every aspect of their treatment.A. L.
Dr. Bauer, our family wants you to know how thankful we are to you for saving G.P.’s life and bringing him back to us in normal health. Thank you over and over you are the best!Family of G. P.