The majority of aortic aneurysm repairs are currently done with a minimally invasive technique called thoracic endovascular aneurysm repair (TEVAR); not all patients are suitable candidates though.

TEVAR is a procedure that requires only small, or no incisions in the groin. With the use of X-ray guidance and special endovascular wires and catheters guided through the vascular lumen, a stent-graft (covered metallic tube) is inserted via the femoral artery and advanced up into the aorta to the site of the aneurysm.

The stent-graft is expanded inside the aorta and held in place with metallic hooks and stents rather than sutures.

Typically patients who undergo this procedure have a supervised hospital stay for a couple of days after surgery, and it takes a few days for a complete recovery.

As with any operation, endovascular aneurysm repair has a risk of complications and requires lifelong surveillance. You will want to discuss these thoroughly with your vascular surgeon.