EVAR: Repairing an Aortic Aneurysm from Within

With Dr Andrew Choong, vascular and endovascular surgeon in Singapore

Published · 1 min 30 sec · Watch on YouTube

Transcript

Read the full transcript

Today we're talking about EVAR for aortic aneurysms. EVAR is endovascular aortic repair. The aorta, you will remember, is the biggest blood vessel in the body. Sometimes, when it's weakened, it grows like a balloon, and when it gets to double its normal size, it's called an aneurysm. The risk is that it can burst. The problem is that they often don't have any symptoms and are silent. They're often found incidentally.

In the beginning, we only had open repair, which involved a big cut in the tummy and sometimes into the chest. These days we have endovascular aortic repair, or EVAR, which is normally done percutaneously, meaning just through the skin, sometimes through two small incisions. Now, importantly, EVAR isn't for everyone […] In another video, I'll compare EVAR and open repair directly and talk about the pros and cons of both.

In the meantime, if you've got a family history, or if you're a man who's 55 and over, particularly if you've had a history of smoking or high blood pressure or both, go and see a vascular surgeon and get yourself screened. It's a simple, non-invasive ultrasound scan and it could make a world of difference to you.

About this video

Dr Andrew Choong introduces endovascular aortic repair, or EVAR, and the idea of placing a stent graft inside an aneurysm. He explains that this less invasive approach is suitable for some patients, while treatment decisions depend on individual assessment.

After EVAR, follow-up scans check for an endoleak, where blood still reaches the aneurysm sac; the endoleak after EVAR guide explains the types and which ones need treatment.

Original video: EVAR for Aortic Aneurysms: A Pipe Within a Pipe

Read the accompanying article for the written explanation and further context.

Related patient information

For an individual assessment or second opinion, contact Andrew Choong Vascular Surgery at Mount Elizabeth Novena Specialist Centre, #09-22, 38 Irrawaddy Road, Singapore 329563.

This video provides general information and does not replace individual medical advice. For a medical emergency in Singapore, call 995.

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