Fenestrated Endovascular Grafts

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Fenestrated Endovascular Graft at UVA

UVA is one of the few hospitals in the country — and the only one in the region — where patients with pararenal aneurysms can be treated using the minimally invasive fenestrated endovascular graft.

Each graft, or stent, is custom-made for each patient after using high-tech CT scans to determine the exact size and location of the aneurysm.

Aortic stent-grafts provide a new lining to the aorta and can therefore be used to take the pressure off of an aneurysm and keep it from getting bigger, or can be used to “push” the layers of the aorta back together in patients with an aortic dissection. Stent-grafts to treat thoracic aortic aneurysms are an FDA approved therapy that UVA have been using for the past 10 years and have been part of clinical trials. 

Your vascular surgeon will repair the aneurysm by placing the graft into the area of the aneurysm through a small incision in your groin. Stent-grafts are significantly less invasive than standard open surgery, but are not yet an option for everyone with a thoracic aortic aneurysm or dissection.

Endovascular Aortic Aneurysm Repair

Endovascular aortic repairs treat aneurysms in your aorta without major surgery. At UVA, our Aortic Center’s surgical team has the deep experience and expertise needed for successful endovascular aortic aneurysm repairs.

Advantages of Fenestrated Endovascular Graft

This minimally invasive technique offers benefits including:

  • Less risk of serious complications
  • Shorter recovery time
  • Small incision that leaves little scarring
  • Shorter hospital stay
  • Fewer blood transfusions
  • Feeling better sooner

The procedure usually takes about 3 to 4 hours, and patients can leave the hospital after 1 to 2 days.

Who's a Candidate for the Surgery?

Most aneurysms are not near a patient's kidney, so the surgery is not appropriate for most people with abdominal aortic aneurysms. 

Your doctors and surgeons will carefully evaluate you to see if this endovascular treatment is a good fit.