Fenestrated or Branched Endovascular Aortic Repairs (F/B EVARs) offer a state of the art, minimally invasive approach to treatment of complex aneurysms versus the typical AAA repair.

At Carilion Clinic’s Aortic Center, we take a completely customized approach to care with every individual patient. Patients will go through a pre-operative process at our outpatient facility prior to surgery: getting a CT scan, then clinic appointment with Dr. Adams to discuss care and treatment. Other services within that building are also easily available and can be handled with ease, for patients that have traveled to Roanoke from out of town.

After these ancillary studies are accomplished between Dr. Adams and the patient, a personalized plan is created with next steps and a surgical approach strategy is made.

Once the plan is created, Dr. Adams, builds a customized stent graft for every patient – both fenestrated or branched. These stents allow Dr. Adams to treat portions of the aorta, including:

  • Celiac artery
  • Superior mesenteric artery
  • Renal arteries
  • Aortic arch within the thoracic aorta

Once in the operating room, Dr. Adams and his staff are able to compare the customized stent graft to 3D images, CT scans, and live X-Rays to ensure a proper fit to the patient.

Recovery times for this procedure are significantly quicker versus standard methods: with one-two days in the hospital versus a week or more for standard treatment. After the patient is released from the hospital, all post-operative care is handled in our outpatient center on Carilion’s campus.

It’s important to understand that complex aneurysms are best treated before a rupture. Medicare has approved an abdominal aortic ultrasound for patients with higher risk for abdominal aortic aneurysms, specifically those with a family history of this condition or male patients that have smoked over 100 cigarettes in their lifetime.

For more information on this procedure, click here, or reach out to the Aortic Center at: 540-853-0100.

Service Benefits
Faster Recovery times - you don't need to stay in the hospital and continue recovery for six weeks or more like with traditional procedures.
Safer surgical care - This safer surgical care option carries a lower risk of complications and infection for patients.
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