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
At Wake Forest Baptist Medical Center, we offer the full spectrum
of aortic aneurysm repair, including new techniques such as fenestrated
endograft repair, also known as FEVAR.
Fenestrated Endograft Repair (FEVAR) 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.
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 fenestrated endovascular repair works:
- 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
- We can place additional stents through the holes
in the graft to support your unique anatomy.
Your fenestrated endovascular repair treatment options depend on variety of factors, including the
size of your aneurysm. You and your doctor will decide which one is right for
Contact Wake Forest Baptist Health
an appointment online to learn more about fenestrated endovascular repair (FEVAR). Or, for more
information, please call:
- 336-716-WAKE or