Fellowship-trained Doylestown Health Vascular Surgeons are performing intricate repairs of complex aortic aneurysms, using advanced techniques and state-of-the-art technology.
While endovascular, or minimally invasive repair has become commonplace, Doylestown Health is offering a more complex level of care. This includes not only the use of traditional endovascular aortic stent-grafts, but also specially-designed stent-grafts that allow surgeons to treat anatomically challenging aneurysms that previously could not have been treated with traditional stent-grafts. This is due to the ability of these novel technologies to simultaneously exclude blood flow from the aneurysm, while preserving and maintaining blood flow to vital organs.
About Aortic Aneurysms
- The aorta is the main vessel carrying blood from the heart to the rest of the body. An aneurysm occurs when an area of the aorta weakens and bubbles out.
- The aorta has branches that carry blood throughout the body to provide oxygen and nutrients to the organs and muscles.
- Aortic aneurysms, in general, carry a risk of rupture - an immediate, life-threatening situation.
- The abdominal area is the most common sight of aortic aneurysms, which are often discovered incidentally.
Treating from Inside the Blood Vessels
Today, most aneurysm repairs are endovascular, meaning, treated from inside of the blood vessels by re-lining the aneurysms.
Endovascular aneurysm repair offers quicker recovery, shorter hospital stays, and reduced risk of complications compared to open surgery. To treat the aneurysm, the surgeon threads a catheter through tiny holes in the groin into the femoral artery and up to the aorta, then uses the catheter to deliver a mesh fabric covered stent-graft to the diseased area where the stent graft lines the inside of the artery, creating a strong channel for blood flow to eliminate the risk of rupture.
Doylestown Health is committed to using the most advanced technology to offer our patients better outcomes and a quicker return to their everyday lives.
Thoracic endovascular aneurysm repair (TEVAR)
TEVAR is a minimally invasive repair of aneurysms in the part of the aorta located in the chest (thoracic). This therapy significantly reduces the recovery and risks associated with open chest incisions that were the mainstay of treatment in the past.
Fenestrated endovascular aneurysm repair (FEVAR)
Sometimes, an aneurysm occurs in the section of the aorta where the kidney arteries or intestinal arteries branch off. Fenestrated stent grafts are custom designed using enhanced imaging to place holes in the stent graft at the exact locations of the kidney or intestinal arteries.
Preserving blood flow with Bilateral IBE
In fact, Doylestown Health vascular surgeons were first in the Delaware Valley to perform a bilateral iliac branched endoprosthesis (IBE) procedure, when Dr. Rao and Joshua Eisenberg, MD, simultaneously treated two iliac aneurysms (left and right) in a 61-year-old male while preserving blood flow to both iliac arteries.
How IBE works
The Iliac branched endoprosthesis (IBE) procedure is a cutting-edge therapy that treats an iliac artery aneurysm while preserving quality of life for the patient. The iliac arteries carry blood to the pelvis and legs, and the IBE device enables surgeons to treat iliac artery aneurysms while preserving blood flow in both branches of the iliac arteries (external and internal). Before IBE, the procedure involved intentionally covering one or both internal iliac arteries with the stent graft(s), often leading to insufficient blood flow to the buttocks (resulting in pain with walking), insufficient blood flow to the colon, and sexual dysfunction. With IBE, surgeons no longer need to cover the iliac arteries. Instead, the IBE is used to create channels that support blood flow through the aorta and the iliac arteries.
Find a Vascular Surgeon