Endovascular Repair of Thoracic Aortic Aneurysm - Emergency
Steps Involved in IVF:
Procedure Description
Endovascular repair of thoracic aortic aneurysm (TEVAR) is a minimally invasive procedure aimed at treating an aneurysm in the thoracic aorta, which is the major blood vessel carrying blood from the heart to the rest of the body. An aneurysm is an abnormal enlargement or bulging in the aorta, which, if ruptured, can lead to life-threatening internal bleeding. TEVAR is often considered as a life-saving intervention in emergency cases to prevent rupture or address an already ruptured aneurysm.
During TEVAR, a stent graft—a tube made of fabric supported by a metal mesh—is inserted into the thoracic aorta through the blood vessels. This stent graft reinforces the weakened area of the aorta, providing a new channel for blood to flow through, preventing the aneurysm from rupturing or sealing off a rupture. The procedure is performed under image guidance, which allows for precise placement of the graft without the need for open chest surgery.
The procedure's minimally invasive nature, involving access through small incisions in the groin, offers a less traumatic alternative to open surgical repair. Endovascular techniques have evolved significantly over the past decade, allowing for quicker intervention, reduced recovery times, and improved outcomes for patients with thoracic aortic aneurysms, especially in emergency settings where rapid action is necessary.
Procedure Duration
The duration of the endovascular repair of a thoracic aortic aneurysm varies depending on the complexity of the aneurysm and the patient's overall condition. Generally, the procedure takes between 1 to 3 hours to complete. The process begins with the insertion of a catheter through a small incision in the groin, where the stent graft is guided to the site of the aneurysm in the thoracic aorta. Fluoroscopy, a type of real-time X-ray, assists the surgeon in placing the stent graft accurately.
Once the stent graft is in position, it is expanded to fit the diameter of the aorta, effectively reinforcing the aorta wall and excluding the aneurysm from blood circulation. The flow of blood is redirected through the graft, relieving the pressure on the aneurysm and reducing the risk of rupture. After the stent graft is placed and verified for correct positioning and functionality, the catheter is removed, and the incisions are closed.
Recovery time post-procedure varies but is generally shorter than traditional open surgery. Most patients remain in the hospital for observation for around 2 to 5 days, depending on their condition and any potential complications. Full recovery may take a few weeks, with most patients able to resume normal activities within 4 to 6 weeks after the procedure.
Benefits
- Minimally Invasive: TEVAR is less traumatic than open surgery, involving small incisions and reducing the physical impact on the patient.
- Reduced Recovery Time: Patients experience a faster recovery, shorter hospital stays, and can return to normal activities sooner than with open surgical repair.
- Lower Risk of Complications: The endovascular approach typically carries a lower risk of infection, bleeding, and other surgical complications.
- Life-Saving in Emergencies: TEVAR is a rapid intervention that can stabilize an aneurysm before rupture or immediately address a rupture, potentially saving lives.
- Suitable for High-Risk Patients: The procedure can be performed on patients who may not be candidates for open surgery due to age, comorbidities, or other health factors.
Potential Destinations
- Germany:
Known for its advanced medical technology and highly skilled cardiovascular surgeons, Germany is an excellent choice for patients seeking TEVAR. The country’s healthcare infrastructure is renowned for its rigorous safety standards, ensuring optimal patient outcomes.
- India:
With a growing reputation for high-quality cardiac care at affordable prices, India offers state-of-the-art facilities for endovascular procedures. Many hospitals are equipped with the latest technology and offer English-speaking staff to assist international patients.
- Singapore:
A leader in medical tourism in Asia, Singapore boasts cutting-edge healthcare facilities and a robust medical regulatory framework. Its hospitals are known for top-notch cardiovascular care and adherence to international standards, making it a preferred destination for TEVAR.
- United States:
The U.S. is home to some of the world's leading experts in cardiovascular surgery and endovascular repair. Patients opting for treatment in the U.S. benefit from access to the latest advancements in medical technology, research, and specialized care.
- Turkey:
As a rapidly emerging destination in medical tourism, Turkey offers advanced medical care at competitive costs. The country is known for its experienced vascular specialists and modern hospitals, catering to international patients with quality services and comprehensive care.
Risks & Considerations
- Endoleaks:
An endoleak occurs when blood leaks around the edges of the stent graft into the aneurysm sac, potentially necessitating further intervention.
- Device Migration or Malfunction:
The stent graft may shift or malfunction over time, requiring follow-up procedures to correct or replace the device.
- Infection:
Although minimally invasive, there is still a risk of infection at the incision site or within the graft itself, which may need antibiotic treatment or surgical intervention.
- Aortic Injury:
During the procedure, the aorta or other blood vessels could be accidentally injured, resulting in potential bleeding or requiring additional repair.
- Kidney Complications:
The use of contrast dye during the procedure can affect kidney function, especially in patients with pre-existing kidney conditions. Proper hydration and monitoring are essential.
How to Choose the Right Doctor and Hospital
When selecting a doctor or hospital for TEVAR, it is crucial to look for a vascular or cardiovascular surgeon with extensive experience in endovascular procedures, particularly thoracic aneurysm repairs. Patients should seek a healthcare provider who can demonstrate a track record of successful outcomes and is board-certified in vascular surgery or cardiovascular specialties.
The hospital should be equipped with modern facilities, including a well-functioning catheterization lab, advanced imaging technology, and a skilled multidisciplinary team. Furthermore, international patients should consider hospitals that offer a comprehensive care package that includes pre-operative assessment, post-operative follow-up, and access to language and travel support services to ensure a smooth medical journey.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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Punta Mita Hospital
Mexico
Punta Mita Hospital - Genesis Cell
Mexico
