Tip:
Highlight text to annotate it
X
[MUSIC]
My name is Chris Abularrage, I'm a
vascular surgeon at the John Hopkins Hospital.
[MUSIC]
Endovascular surgery is a minimally invasive technique by which
we repair aortic aneurysms of the thoracic and abdominal aorta.
This typically entails two small incisions in the groin, through which we
place a stent excluding the aneurysm from blood flow from the heart.
This results in a shorter postoperative stay.
And a shorter recovery time.
[MUSIC]
In order to undergo the minimally invasive procedure,
patients need suitable anatomy for the stint graft, itself.
Patients who do not have adequate anatomy, or those
patients who are younger, usually undergo an open repair.
For those patients who are not a candidate
for endovascular repair, but who either have prohibitive risks
for open surgery, or would just not prefer to
undergo an open surgery, hybrid procedures can be performed.
This can entail placing covered stints into the kidney arteries and
then extending the endograph up to cover the kidney arteries themselves.
After minimally invasive endovascular surgery, patients can expect to
stay in the hospital on average two to three days.
And go back to their normal quality of life by two weeks.
Long term, patients are followed with ultrasounds and CAT scans.
To make sure that the aneurysms are completely treated.
[MUSIC]
The most common complication after the minimally
invasive endovascular repair, is an endo leak.
This means a leakage of blood around the
graft, such that the aneurysm is not completely treated.
The good news is that the majority of these leaks can
be treated in a minimally invasive manner with percutaneous catheters and devices.
[MUSIC]
The most rewarding thing that I do is being to treat
patients that are high risk or otherwise not candidates for open repair.
With minimally invasive procedures.
[MUSIC]
One of the best things about Johns Hopkins, is
that all of our vascular surgeons are trained in
both open and endovascular surgery thus we can provide
all patients with the options that are best for them.
[MUSIC]