Endovascular Aneurysm Repair (EVAR)

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Endovascular aneurysm repair (EVAR) is a minimally invasive procedure to repair an abdominal aortic aneurysm (AAA). It is used more often now than traditional open surgery for aneurysm repair.

The board-certified and fellowship-trained vascular surgeons at Norton Heart & Vascular Institute have years of experience performing the EVAR procedure.

To make the repair, Norton Heart & Vascular Institute vascular surgeons make a small incision in your groin to reach an artery. There, they use X-ray images for guidance to thread tiny instruments through the femoral artery to the site of the aneurysm in the aorta.

There, a stent graft — a long, cylinder-like tube made of a thin metal framework with a coating that helps hold it in place — is inserted and expanded to support the weakened aorta wall and relieve pressure on the aneurysm.

You may be eligible for EVAR if you have an aortic aneurysm that is causing symptoms or has expanded to more than 5 centimeters (about 2 inches). EVAR is not an option for about 20% of people with AAA due to physical characteristics of the aneurysm.

Those who aren’t candidates for EVAR may require traditional open abdominal surgery to repair the AAA. In this procedure, a large incision is made in the abdomen to access the abdominal aorta directly. A tube may be sewn to the aorta, spanning the site of the aneurysm.

The EVAR procedure usually takes one to two hours. Patients usually go home within 48 hours. Most patients can return to normal activities four weeks after the procedure.

The open operation usually takes one to three hours. Patients stay in the hospital for five to seven days.  Full recovery can take up to a month or longer.

Heart and Vascular Care for the Whole Person

Norton Heart & Vascular Institute offers patient resources to support you and your family, including free classes for people of all ages who are seeking to improve cardiovascular health or living with a heart condition.

Cardiac Rehabilitation Program

Our cardiac rehabilitation providers are leaders in developing and applying innovative techniques that can help you recover and resume your life.

Connecting Hearts Support Group

The group provides education and support to individuals who have had a heart attack, are living with a heart condition or are at risk for cardiovascular disease.

Heart Health Screenings

Prevention is the best way to manage heart disease, and screenings are available to detect early signs of cardiac and vascular disease and identify risk factors.

About Norton Heart & Vascular Institute

Every year, more than 137,000 people in Louisville and Southern Indiana choose Norton Heart & Vascular Institute specialists for their heart and vascular care. That’s more than any other health care provider.

  • Norton Healthcare’s adult-service hospitals in Louisville all have received Chest Pain Center accreditation from the American College of Cardiology (ACC). This is the seventh consecutive accreditation for all four hospitals, which ensures quality for the treatment of heart attack.
  • Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital all are recognized as having ACC Chest Pain Center with Primary PCI accreditation.
  • Norton Healthcare has the most facilities across the city of Louisville with the ability treat a life-threatening heart attack.
  • You have access to more than 100 physicians and advanced practice providers with specialized training and experience in a comprehensive range of conditions and treatments.
  • Patients can make appointments at 28 locations in Louisville and Southern Indiana. Telecardiology is offered at more than 30 sites in the region.
  • Norton Audubon Hospital, a key location for Norton Heart & Vascular Institute services, has been recognized with a HeartCare Center National Distinction of Excellence year after year by the American College of Cardiology. This is the only hospital in Louisville to be recognized for this distinction.
  • U.S. News & World Report 2023-24 Best Hospitals ranked Norton Healthcare’s adult-service hospitals in Louisville as high performing in heart attack, heart failure, aortic valve surgery and heart bypass surgery.
  • Norton Audubon Hospital earned ventricular assist device (VAD) accreditation from DNV – Healthcare and the Centers for Medicare & Medicaid Services.
  • Communicate with your health care provider, renew prescriptions, get lab results and more through your free Norton MyChart account.

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