Peripheral Aneurysm Repair

Everything you need to know about peripheral aneurysm repair.

ABOUT PERIPHERAL ANEURYSMS

In general, an aneurysm is an enlargement or weakened area of an artery. While aneurysms are fairly common in the aorta (abdominal aortic aneurysm – AAA) they can occur in any artery. A peripheral aneurysm is an enlargement or weakened area in an artery other than your aorta.

Some examples of locations where peripheral aneurysms can develop include:

  • Renal arteries — these supply blood to the kidneys
  • Femoral arteries — located in the groin area
  • Popliteal arteries — located behind the knees
  • Carotid arteries — located in the neck

Incidentally, peripheral aneurysms often develop in the neck and legs. The most common type of peripheral aneurysms occurs in the popliteal artery, which is located in the leg behind the knee cap.

HOW PERIPHERAL ANEURYSMS ARE REPAIRED

Most peripheral aneurysms greater than 2 centimeters in diameter require treatment but there are cases where even smaller aneurysms may also require treatment. How a peripheral aneurysm is repaired will depend on a number of factors, including location and size, the condition of surrounding vessels, and the overall health condition of the patient.

There are two primary methods for repairing peripheral aneurysms, including stent grafting and surgical bypass. Stent grafting involves inserting a catheter into an appropriate access point, and guiding the catheter (equipped with stent graft) to the aneurysm site. The graft is then placed inside the vessel in order to seal off the aneurysm.

Surgical bypass is another way to treat a peripheral aneurysm, particularly in the leg. A surgical bypass reroutes the blood flow around the aneurysm. Once bypassed, the aneurysm can be removed or tied off to prevent circulating blood from entering the aneurysm.

WHAT YOU NEED TO KNOW PRIOR TO ANEURYSM REPAIR

Peripheral aneurysms can usually be repaired using endovascular (EVAR) techniques in an outpatient setting like Allegheny Vein and Vascular.  Once Dr. Tahara determines the type of procedure you need, he will provide you with detailed instructions about how to prepare for the procedure during your evaluation. Dr. Tahara carefully explores your medical history during pre-op evaluation, including recent illnesses, existing medical conditions, and any allergies you have or medications you’re taking. He will also carefully explain how you should manage your regular medications, food, and drink just prior to the procedure. As a typical example, you may be told not to eat or drink anything several hours before arrival. You may also be asked to wear loose and comfortable clothing and refrain from wearing jewelry.

WHAT TO EXPECT AFTER YOUR PROCEDURE

The Allegheny Vein and Vascular nursing staff will call you about 24 hours after your procedure to check up on you. Typically, the patient will also come in for a followup visit with Dr. Tahara about a week after the procedure is completed.  From there on out, you will be scheduled for office visits and duplex ultrasound appointments as necessary.

IMPORTANT: It is vital that patients keep their followup appointments.  The reason for this is that vascular disease is not something that just goes away.  It is a process that continues, even after any necessary procedures have been performed.  Regular monitoring of your condition will be required in order to help you realize your best possible outcome for the long term.

ALL THINGS VASCULAR

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