EVAR (Endovascular Aneurysm Repair) | Norton Healthcare Louisville, Ky.

Endovascular Aneurysm Repair (EVAR)

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

About 250,000 people a year in Louisville and Southern Indiana choose Norton Heart & Vascular Institute to treat their heart and vascular conditions. That’s more than any other provider in the area.

  • All four of Norton Healthcare’s adult acute-care hospitals are accredited by the American College of Cardiology’s Accreditation Services as Chest Pain Centers, with the highest accreditation level possible for facilities able to treat heart attacks.
  • We have more than 50 board-certified cardiovascular physicians and 35 advanced practice providers. Through training and years of experience, they specialize in areas such as cardiologyinterventional cardiologycardiothoracic surgerythoracic surgery, electrophysiologyadvanced heart failureand vascular surgery.
  • We offer same-day appointments for new patients.
  • We have 27 locations in Louisville and Southern Indiana. Telecardiology is offered at more than 30 clinical sites in the region.
  • Norton Healthcare has four adult-service cardiac catheterization labs, with 14 state-of-the-art rooms. Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital have received the highest level of cardiac catheterization accreditation from the American College of Cardiology — offering lifesaving, minimally invasive procedures for diagnosis and treatment.
  • Our cardiothoracic surgeons and electrophysiologists have more experience than any provider in the area performing hybrid ablation for atrial fibrillation (A-fib). This innovative treatment also can help patients who have had persistent A-fib for more than a year that hasn’t responded to other treatments.
  • Norton Healthcare is the only health care system in Kentucky to receive the prestigious Mission: Lifeline Regional Trailblazer Award from the American Heart Association for being an innovator in creating a system of care for ST-elevation myocardial infarction (STEMI) heart attacks — the most severe type of heart attack.
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Vascular surgery – 7242

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