Endovascular prosthetics of the abdominal aortic aneurysm

The endovascular surgical intervention is performed in an operating room under local anesthesia and intravenous anesthesia. By a surgical team (surgeon, assistant, surgical nurse), for the treatment of an aneurysmal lesion of the abdominal part of the aorta that requires surgical correction.

A surgeon performs the puncture of the radial artery or the common femoral artery transcutaneously and injects a contrast agent selectively to determine an aortic pathology (true and subintimal lumen) with a PigTail catheter. The surgery is performed under the constant invasive blood pressure control only. A surgeon introduces an intravascular hydrophilic conductor with the diameter of 0.035’’ into the aortic ampoule using a diagnostic catheter and performs the replacement of the conductor using a diagnostic catheter on the stiff guide wire to deliver the aortic endoprosthesis according to the “monorail” system. The aortic endoprosthesis is implanted into the infrarenal aorta, then the stem of the prothesis is implanted in case of the bipolar endoprosthesis replacement. Aortic angiography is performed to determine the correct aortic prosthesis replacement (of the aortic branches), the presence of the endolic an the necessity of further manipulations, balloon post-dilatation of the endoprosthesis is performed if indicated. A surgeon records the end result on the angiograph in various projections. After the examination the surgical instruments are removed, and the hemostasis of the vascular accesses is performed.

Service duration: 60 to 120 minutes.