Endovascular Aneurysm Repair Specialist

Vascular Associates of San Diego

Vein Specialists & Vascular Specialists located in San Diego County, La Mesa, CA

Endovascular aneurysm repair is a potentially life-saving procedure that treats abdominal and thoracic aortic aneurysms. If you find out you have an aneurysm, Vascular Associates of San Diego in La Mesa, California, serving all of San Diego County, can help. Their team specializes in using catheterization techniques like endovascular aneurysm repair to support the weakened area of your aorta and reduce your risk of having a ruptured aneurysm. To schedule a consultation, call Vascular Associates of San Diego today or book an appointment online.

Endovascular Aneurysm Repair Q & A

What is endovascular aneurysm repair?

Endovascular aneurysm repair is a minimally invasive treatment for aortic aneurysms. It involves using a catheter, which is a very thin, flexible tube, to access and repair the affected artery.

The Vascular Associates of San Diego team performs both thoracic (TEVAR) and abdominal (EVAR) endovascular aneurysm repairs.

Why would I need an endovascular aneurysm repair?

You might need an endovascular aneurysm repair if you have an aortic aneurysm — a bulge in the wall of your aorta, the body's largest artery. These bulges can occur in your abdomen (abdominal aortic aneurysm) or chest (thoracic aortic aneurysm).

The main cause of aortic aneurysms is atherosclerosis, a common problem that occurs when fatty residue (plaque) collects on the walls inside your arteries. As it builds up, the plaque makes the arteries narrower, and can block them in places. This limits blood flow and can lead to medical emergencies like strokes and heart attacks.

Other possible causes of aortic aneurysms include:

  • Degenerative changes (cystic medial degeneration)
  • Genetic diseases (Ehlers-Danlos, Marfan, and Turner syndromes)
  • Inflammatory diseases (giant cell arteritis and rheumatoid arthritis) 
  • Infections (syphilis, salmonella, and infective endocarditis)
  • Severe blunt trauma to the chest or abdomen

Aortic aneurysms develop due to the weakening of the artery wall. They can become large, and there's a risk of them bursting — a potentially life-threatening situation that requires urgent treatment.

What does endovascular aneurysm repair involve?

Endovascular aneurysm repair involves the placement of an endovascular stent graft into the weakened part of your aorta. A stent graft is a section of tubular metal scaffolding covered with fabric.

First, you undergo an evaluation and a CT scan to determine the precise shape and size of your aneurysm. If the Vascular Associates of San Diego team decides you're an appropriate candidate for a stent graft, they perform the procedure in the hybrid endovascular operating room suite.

Your provider inserts the stent graft through two small incisions in your groin, using a slim tube called a catheter to reach the aorta. They use fluoroscopy — a type of real-time X-ray — to guide the catheter and placement of the stent.

Once the stent is in place, your provider expands it so it grips the walls of the artery with tiny hooks. The stent relines the artery, reducing pressure and helping to prevent the aneurysm from growing or rupturing.

Find out more about abdominal aortic aneurysm screening and treatment by calling Vascular Associates of San Diego, or book an appointment online today.