Endovascular aneurysm repair (Key hole surgery) 

In endovascular repair, the aneurysm isn’t removed. Instead, a graft is inserted into the aorta to strengthen it. This is done using catheters (tubes) inserted into the arteries; it doesn’t involve surgically opening the chest or abdomen. General anaesthesia is used during this procedure.

A catheter is inserted into an artery in the groin (upper thigh) and guided into the aneurysm. Then, using an x-ray to see the artery, the graft (also called a stent graft) is threaded into the aorta to the aneurysm.

The graft is then expanded inside the aorta and fastened in place to form a stable channel for blood flow. The graft reinforces the weakened section of the aorta. This helps prevent the aneurysm from rupturing.

Broomfield Hospital, Chelmsford, Essex – Where Mr Tom. Browne operates, is the only hospital in Britain to have a hybrid theatre where this procedure can be carried out using the most modern facilities.

Results following the EVAR approach…

  • Relatively short hospital stay

  • Very rare ITU Admission