Endovascular Aneurysm Repair
Steps Involved in IVF:
Procedure Description
Endovascular Aneurysm Repair (EVAR) is a minimally invasive surgical procedure used to treat aneurysms in blood vessels, particularly the aorta. An aneurysm occurs when the wall of a blood vessel weakens, causing it to bulge or swell. If left untreated, an aneurysm can rupture, leading to severe internal bleeding or even death. EVAR addresses this by reinforcing the weakened area in the blood vessel with a stent graft, reducing the risk of rupture. Unlike traditional open surgery, which requires a large incision, EVAR involves smaller incisions in the groin, allowing a faster recovery time and reducing the risks associated with larger surgeries.
During the EVAR procedure, a thin tube called a catheter is inserted into a blood vessel in the groin. Through this catheter, the surgeon guides a stent graft—a tube made of metal mesh and synthetic material—into the aneurysm. The stent graft is then expanded and anchored within the vessel, covering the weakened area of the artery wall and creating a secure path for blood flow. This bypasses the aneurysm and reduces pressure on the vessel wall, preventing further enlargement or rupture.
EVAR is commonly used to treat abdominal aortic aneurysms (AAA) and thoracic aortic aneurysms (TAA), as well as aneurysms in other arteries if accessible through the endovascular approach. This procedure is highly beneficial for patients who may not tolerate open surgery due to age, heart conditions, or other health issues. Its minimally invasive nature and high success rate have made EVAR an increasingly preferred choice for aneurysm repair.
Procedure Duration
The duration of an EVAR procedure typically varies based on the complexity and location of the aneurysm, as well as patient-specific factors. Generally, the surgery itself takes around two to four hours. Prior to the procedure, patients undergo imaging tests such as a CT scan or MRI to assess the size, shape, and location of the aneurysm. This preparation allows the surgical team to plan the stent graft placement precisely, which is essential for a successful outcome.
Once the procedure is completed, patients are monitored in a recovery room, where they are closely observed to ensure there are no immediate complications. Most patients are transferred to a regular hospital room within a few hours and can expect to stay for one to two days. During this period, healthcare providers monitor vital signs, conduct imaging to confirm the stent graft placement, and administer medications to manage pain and prevent blood clots.
The recovery time for EVAR is relatively short, with many patients able to return to light activities within a week. However, full recovery varies and can range from a few weeks to a couple of months. Regular follow-up imaging is essential, as it allows healthcare providers to assess the stent graft’s position and effectiveness over time and address any issues promptly. This ongoing monitoring is critical to the long-term success of the procedure.
Benefits
- Minimally Invasive: Unlike open surgery, EVAR requires only small incisions, which minimizes trauma to the body and allows for faster healing.
- Reduced Recovery Time: Patients typically experience a shorter hospital stay and can resume daily activities within a shorter period than after open surgery.
- Lower Risk of Complications: Due to its minimally invasive nature, EVAR generally has a lower risk of complications, especially in patients with underlying health conditions.
- Effective Long-Term Results: When performed successfully, EVAR provides durable results that reduce the risk of aneurysm rupture.
- Suitable for High-Risk Patients: EVAR is often recommended for older patients or those with health issues that make them ineligible for open surgery.
Potential Destinations
- Germany
Known for its advanced medical infrastructure, Germany has several hospitals and clinics specializing in EVAR. With stringent quality standards and access to the latest medical technology, Germany offers a reliable choice for patients seeking high-quality aneurysm repair.
- United States
The United States has a number of specialized vascular centers with skilled surgeons and access to innovative technologies. Many hospitals are equipped to provide personalized treatment plans, including follow-up monitoring for international patients.
- India
Offering a cost-effective option without compromising quality, India has become a preferred destination for medical tourists. Leading hospitals in cities like Mumbai and Delhi have highly trained specialists and facilities that follow international standards, making EVAR treatment accessible for patients from around the world.
- Singapore
Singapore is known for its high healthcare standards and experienced medical professionals. Many hospitals in Singapore provide advanced aneurysm treatments, including EVAR, within a well-regulated healthcare environment that prioritizes patient safety.
- Turkey
Turkey has emerged as a prominent destination for medical tourism, offering affordable yet high-quality medical care. The country’s healthcare facilities are equipped with advanced technology, and many surgeons are trained in minimally invasive procedures, including EVAR.
Risks & Considerations
- Endoleak: An endoleak occurs when blood continues to flow into the aneurysm, despite the presence of the stent graft. This may require additional procedures to correct.
- Device Migration: The stent graft may shift position over time, leading to incomplete aneurysm exclusion. Regular imaging follow-ups are necessary to detect and address this issue early.
- Infection: As with any surgical procedure, there is a risk of infection, especially at the site of the incisions. Adherence to postoperative care instructions is essential to reduce this risk.
- Kidney Function Impact: The contrast dye used in imaging during the EVAR procedure can affect kidney function, particularly in patients with pre-existing kidney conditions. This may require pre-procedure assessment and precautions.
- Limited Suitability: EVAR may not be suitable for all aneurysms, particularly if the aneurysm is located in an area that cannot be reached through an endovascular approach. In such cases, open surgery may be recommended instead.
How to Choose the Right Doctor and Hospital
When choosing a doctor and hospital for EVAR, it’s essential to prioritize experience and expertise. Look for a vascular surgeon or interventional radiologist with a substantial background in endovascular procedures. These specialists should be board-certified and have specific training in treating aneurysms with minimally invasive techniques. Reviewing the doctor’s credentials, patient reviews, and history of successful EVAR cases can provide a clearer picture of their capabilities.
Similarly, the hospital or clinic should be well-equipped with the latest imaging technology and facilities necessary for EVAR. Many top hospitals maintain accreditation and adhere to international healthcare standards, ensuring a safe environment for patients. Additionally, consider whether the facility offers follow-up care for international patients, as ongoing monitoring is vital for the long-term success of the procedure.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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