Fenestrated Endovascular Grafts

If you have an aortic aneurysm, you probably need surgery. Often, a complicated surgery means you’ll face a long time in recovery.

At UVA's Aortic Center, we have another option. We’re one of the few hospitals in the country performing fenestrated endovascular aneurysm repair (FEVAR). Also sometimes called branched endovascular aortic repair (BEVAR), FEVAR lets surgeons repair your aneurysm without big cuts to your body. That means a shorter hospital stay and quicker recovery.

Fenestrated Endovascular Graft at UVA

The aorta is the biggest blood vessel in your body. An aneurysm is a bulge in the wall of the aorta. The aneurysm weakens the aorta wall. Without treatment, the aneurysm can lead to a tear in the wall of the aorta. Aortic aneurysms can happen in areas where blood vessels branch off from the aorta and lead to your kidneys, liver, or other organs.

Aortic stent-grafts are custom-made tubes that support your blood vessel wall to keep aneurysms from getting bigger. A fenestrated endovascular graft is a type of aortic stent-graft with branches for other blood vessels. They can treat aortic aneurysms near your kidneys or complex aneurysms in blood vessels leading to other organs.

Your care team uses high-tech CT scans to find and measure your aneurysm. We use the data about your aneurysms to make the stent-graft. Once we make the graft, a surgeon uses a small cut by your groin to put the graft in place.

FEVAR has less recovery time than other kinds of aneurysm treatment, like open surgery. UVA Health's providers have years of experience doing research and treating aneurysm patients with stent-grafts. 

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 FEVAR

With FEVAR instead of traditional open surgery, you can expect:

  • A lower risk of serious complications
  • Shorter recovery time
  • Small cut (incision) that leaves little scarring
  • Shorter hospital stay
  • Fewer blood transfusions
  • Feeling better sooner

The procedure usually takes only a few hours. Patients usually can leave the hospital after a few days.

Am I a Good Candidate for FEVAR/BEVAR?

Aortic aneurysms in areas where other blood vessels branch from the aorta are complex conditions. Stent-grafts aren’t the right option for everyone with these aneurysms. Your doctors and surgeons will carefully evaluate you to see if this endovascular treatment fits your situation. 

If you aren't a good candidate for FEVAR, we can still treat your complex aortic aneurysm with open surgery.