AAA repair - endovascular - discharge; Repair - aortic aneurysm - endovascular - discharge; EVAR - discharge; Endovascular aneurysm repair - discharge
You had endovascular aortic surgery repair for an aneurysm (a widened part) of the large artery that carries blood to your lower body (aorta).
To perform the procedure:
The cut in your groin may be sore for several days. You should be able to walk farther now without needing to rest. But you should take it easy at first. It may take 6 to 8 weeks to fully recover.
You will need to increase your activity slowly while the incision heals.
You will need to take care of your incision.
When you are resting, try keeping your legs raised above the level of your heart. Place pillows or blankets under your legs to raise them.
Ask your doctor about follow-up x-rays you will need to have to check if your new graft is OK.
Your doctor may ask you to take aspirin or another medicine called clopidogrel (Plavix) when you go home. These medicines are anti-platelet agents. They prevent the platelets in your blood from clumping together and forming clots in your arteries or stent. Do not stop taking them without talking with your doctor first.
Endovascular surgery does not cure the cause of your aneurysm. Your arteries may become wide again. To prevent the aneurysm from coming back:
Your health care provider may give you medicine to help lower your cholesterol. If you are given medicines for blood pressure or diabetes, take them as your doctor has asked you to.
Call your doctor or nurse if:
Hammond CJ, Nicholson AA. Aortic Intervention. In: Adam A, Dixon AK, Gillard JH, et al. eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 6th ed. New York, NY: Churchill Livingstone; 2014:chap 85.
De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD; DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010 May 20;362(20):1881-1889.
Tracci MC, Cherry KJ. The aorta. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Saunders Elsevier; 2012:chap 62.
Greenhalgh RM, Powell JT. Endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2008 Jan 31;358(5):494-501.
Lederle FA, Kane RL, MacDonald R, Wilt TJ. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007 May 15;146(10):735-741.
Updated by: Deepak Sudheendra, MD, Assistant Professor of Interventional Radiology & Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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