Fenestrated Endovascular Repair (FEVAR)

An aortic aneurysm is caused by the force of blood against a weakened spot in your artery wall. Over time, pressure can cause the artery to enlarge to double its normal size. Surgical repair can reduce your risk for serious complications. 

At Wake Forest Baptist Medical Center, we offer the full spectrum of aortic aneurysm repair, including new techniques such as fenestrated endograft repair. 

Fenestrated Endograft Repair at Wake Forest 

We are proud to be among a handful of hospitals in North Carolina using fenestrated endograft repair (FEVAR). Due to our active role in national research and clinical trials, surgeons at the Heart & Vascular Center were among a select group of hospitals to test this new device. FEVAR has only recently been approved by the FDA and makes it possible to treat aortic aneurysms that had previously been inoperable. 

Until recently, patients with abdominal aortic aneurysms located close to their kidneys had limited treatment options: 

  • Open surgery and six to eight weeks of recovery 
  • No surgery, because it was too risky 

What is FEVAR? 

The aorta is the largest artery in your body and runs through your chest and abdominal region, supplying oxygen-rich blood to most of the organs in your body. An aortic aneurysm can occur anywhere along your aorta. When an aneurysm is located near an organ such as your kidneys, there often isn’t much room for surgeons to work with. 

Due to the tight positioning of tissue, organs and arteries around your aorta, traditional techniques, including some forms of minimally invasive surgery, carry a higher risk for damage and severe bleeding. Fenestrated endovascular repair is a form of endovascular surgery using a custom-designed graft to support both the aorta and arteries that branch off to the heart and kidneys. 

Here’s how it works: 

  1. Using a computed tomography (CT) scan of your aorta, our surgeons create a custom-designed graft with fenestrations (holes). These fenestrations correspond to the unique positioning of the arteries in your body that branch off from the aorta to the kidneys, small bowel and liver.
  2. We can place additional stents through the holes in the graft to support your unique anatomy.  

Your treatment options depend on variety of factors, including the size of your aneurysm. You and your doctor will decide which one is right for you.  

Contact Us 

Request an appointment online. Or, for more information, please call: 

  • 336-716-WAKE or 
  • 888-716-WAKE (toll-free) 

 

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Last Updated: 05-26-2014
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.