Note: The information provided here applies to elective Endovascular Aneurysm Repair (EVAR) procedures under standard conditions. However, specifics may vary depending on individual patient factors, such as the size and location of the aneurysm, the presence of other vascular or systemic conditions, or any complications that might arise during or after the procedure. The patient’s overall health, the complexity of the aneurysm, and the need for additional interventions can also influence the procedure and recovery process.

Inpatient/Outpatient
Endovascular Aneurysm Repair (EVAR) is typically performed as an inpatient procedure. Patients are admitted to the hospital for close monitoring before, during, and after the procedure to ensure the aneurysm is successfully treated and to monitor for any potential complications. While EVAR is less invasive than open surgery, most patients require a short hospital stay for observation.

Hospital Stay Duration
Patients undergoing EVAR usually stay in the hospital for 2 to 3 days. This period allows for close monitoring to ensure that the endograft (the device used to reinforce the artery) is properly placed and that there are no immediate complications, such as bleeding, infection, or issues with the stent graft. The length of stay may be extended if complications arise or if the patient has other underlying conditions requiring additional care.

Type of Anesthesia
The procedure is typically performed under regional anesthesia with sedation, or in some cases, under general anesthesia, depending on the patient’s condition and the complexity of the aneurysm. Regional anesthesia allows the patient to remain awake but relaxed, while the surgical team accesses the aneurysm through small incisions in the groin.

Travel After Procedure
Patients are generally advised to avoid travel for at least one to two weeks after the procedure, particularly long-distance or air travel. This allows time for initial recovery, including ensuring the stent graft is functioning correctly and that there are no complications. The healthcare provider will provide specific recommendations based on the patient’s recovery progress.

Pre-procedure Preparation
Before the procedure, patients are usually instructed to fast for several hours. A comprehensive pre-operative assessment is conducted, including blood tests, imaging studies (such as CT angiography), and evaluations by the surgical and anesthesia teams. Medication adjustments, particularly concerning blood thinners, may be necessary to minimize the risk of bleeding during the procedure.

Procedure Duration
The EVAR procedure typically takes 2 to 4 hours, depending on the complexity of the aneurysm and the patient’s overall condition. The procedure involves inserting a stent graft through the femoral arteries in the groin and guiding it to the site of the aneurysm, where it is deployed to reinforce the weakened section of the artery.

Recovery Time
Recovery from EVAR is generally quicker than recovery from open aneurysm repair. Most patients can return to light activities within a week, though full recovery, including a return to more strenuous activities, may take a few weeks. Patients should follow their healthcare provider’s instructions regarding activity levels, wound care, and any necessary follow-up imaging to monitor the success of the procedure.

Estimated Cost
The cost of EVAR can vary depending on the hospital, geographic location, and the specifics of the patient’s condition. For accurate cost information, patients should contact their healthcare provider or hospital directly.

Post-procedure Care
Post-procedure care is crucial for a successful recovery after EVAR. Patients need to monitor the incision sites for signs of infection, manage pain with prescribed medications, and attend regular follow-up appointments to assess the success of the procedure and to monitor the aneurysm repair. Regular imaging studies, such as CT scans or ultrasounds, are often required to ensure the stent graft remains in place and the aneurysm is not enlarging. Patients will also receive guidance on lifestyle changes, including diet and exercise, to improve overall vascular health and reduce the risk of future aneurysms.