Aortic endoprosthesis is a minimally invasive, hybrid operation in which one of the parts of the aorta (abdominal, thoracic) is replaced by an endoprosthesis (stentgraft).
The method of surgical intervention is individual and consists of several stages:
Stage 1 - calculations of individual dimensions of the prosthesis.
Stage 2 - an operation is performed to install an endoprosthesis in the aorta, which is carried out by puncture or open access to the femoral artery. In the postoperative period, the patient is transferred to the intensive care unit, on average for 1 day or to the ward. In complex cases, when the site of the unchanged aorta is not enough for proximal fixation of the endoprosthesis or visceral vessels (renal, mesenteric) are included in the aneurysm, we use the technique of parallel grafts, which is supplemented by prosthetics of the visceral arteries through other access to them and simultaneous endoprosthetics of the aorta. Since 2019, the institution has mastered and implemented the technique of fixing the endoprosthesis by the Heli system -FX, this technique allows you to use the minimum section of the unchanged aorta, the fixation of the endoprosthesis occurs by screwing the stentgraft to the unchanged wall of the aorta with the help of special fixators, presented in the form of a steel spiral.
After the operation, the patient is discharged for 6-7 days, before discharge, a control CT angiography is performed to determine the results of the operation. At discharge, patients receive recommendations from the attending physician on drug therapy and rehabilitation, the need for annual monitoring of the operation is explained.
With a frequency of once a year, if necessary more often, an outpatient or remote consultation is held with an assessment of the results of control CT angiography.