Restoration occasions from weeks to months for aortic aneurysm repairs with new process: LHSC – London


Officials at the London Health Sciences Center are promoting a new non-invasive procedure to repair life-threatening aortic aneurysms, dramatically reducing a patient’s recovery time.

The procedure, a fenestrated endovascular aneurysm repair, or FEVAR for short, is performed to repair large aneurysms in the aorta, the body’s largest artery, as well as in the chest and abdomen, LHSC officials say.

Previously, patients who underwent open surgery to repair the life-threatening aneurysms had an 11-month recovery time, including several weeks of hospitalization.

The new procedure shortens the hospital stay to a few days and the entire recovery process to about a month.

It is the first health center in the region to offer the procedure, according to the LHSC.

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Officials on LHSC’s vascular surgery team have described the procedure as a “game changer,” saying it allows surgeons to quickly and effectively remove an aortic aneurysm compared to previous methods that have involved opening the chest or abdomen, excising the aneurysm and replacing it with a transplant.

“By the mid-’90s to late ’90s, we sort of figured out a way to replace it using X-rays, and we put in a fabric-covered stent … which allowed us to reline the inside of the aneurysm,” said Dr. John Landau, LHSC Vascular Surgeon, in an interview with Global News.

“But even for that, we had to make two fairly large incisions over the femoral artery in the groin to insert the equipment that allowed us to place these stents.”

With FEVAR, LHSC officials use surgeons to insert a custom-made endovascular stent-graft that is placed under X-ray guidance through a tiny incision near the groin in the aorta, about the size of a standard drinking straw.

“People have been doing these advanced branched grafts for at least a decade,” Landau said. “But to be able to do them percutaneously through these small holes with the combination of techniques and equipment that we have, such a large scale exchange has only been possible in the last year or two.”

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Some patients will still need the traditional open procedure, Landau says, but being able to offer those eligible the non-invasive option, which shortens recovery time and minimizes the risk of serious complications, “is really a win for patients and physicians treating them in the hospital.” all in all.”

Highlighted was the case of Thomas Barker, 75, who underwent the procedure two and a half months ago after doctors discovered an aortic aneurysm in 2017 following aortic valve and coronary bypass surgery.

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“Mr. Barker’s case got very close to all of these blood vessels that feed the major organs of the abdomen,” Landau said.

“We had a custom-built device to integrate all these branching blood vessels into his main organs with additional branching stents going into those blood vessels (to make sure) that the entire system of stents that we put in place excludes blood flow through the aneurysm .”

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Speaking to Global News on Tuesday in a joint interview with Dr. Landau told Barker that he was fine and able to return to a normal life.

The size of the aneurysm was so large that Barker said he was “anything for” the procedure because not doing it would be potentially fatal.

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“It was about three years from diagnosis to surgery. Needless to say, the day of the operation turned out to be the day of the operation and two and a half days later I was home,” he said.

“Today… we just checked the CT scan and everything is fine. I feel good and am now looking forward to moving on with my life.”

Following the success of the FEVAR procedure, LHSC says it has several similar surgeries booked for this fall.

– with files by Devon Peacock

© 2022 Global News, a division of Corus Entertainment Inc.


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