Endovascular Aneurysm Repair (EVAR) can be carried out in a radiology department, an operating room, or a catheterization lab. Both general anesthesia and regional anesthesia are options for the doctor (epidural or spinal anesthesia). The femoral arteries in each leg will be visible thanks to a little incision the doctor makes in each groin.
A stent graft will be introduced into the femoral artery and progressed up into the aorta to the location of the aneurysm with the help of specialized endovascular tools and x-ray pictures for guidance. A stent-graft is a long, cylinder-shaped tube constructed of a thin metal framework (stent), and may also have a graft part made of Dacron or polytetrafluoroethylene (PTFE). The transplant is held in place with the aid of the stent.
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