Expert Endovascular Aneurysm Repair (EVAR) in Gurugram

Endovascular Aneurysm Repair (EVAR) at Apollo Hospitals, Gurugram

Overview

Endovascular aneurysm repair (EVAR) is a minimally invasive procedure used mainly to treat an abdominal aortic aneurysm, which is a weakened and enlarged area in the body’s main artery. Through small groin incisions, specialists guide a fabric-covered metal tube called a stent graft into the aorta to reduce pressure on the aneurysm wall and lower the risk of rupture.

Eligibility depends on the aneurysm’s size, shape, growth and symptoms, as well as the patient’s overall health. Apollo Hospitals, Gurugram is one of the best hospitals for Endovascular Aneurysm Repair (EVAR), offering experienced specialists, advanced imaging, coordinated care and a patient-focused approach that supports trust at every stage.

Book a consultation at Apollo Hospitals, Gurugram to discuss whether endovascular aneurysm repair is suitable for you.

Why is Endovascular Aneurysm Repair (EVAR) Necessary?

An aortic aneurysm may enlarge without causing symptoms, but a rupture can result in life-threatening internal bleeding. Repair may be advised when the estimated danger from the aneurysm becomes greater than the risks of treatment.

Conditions That May Require Endovascular Aneurysm Repair (EVAR)

The procedure may be considered for the following conditions:

• Abdominal aortic aneurysm: A weakened section of the aorta within the abdomen becomes abnormally widened and at risk of rupture.
• Rapidly enlarging aneurysm: Noticeable growth between surveillance scans may indicate increasing weakness even when the aneurysm has not reached a usual treatment threshold.
• Symptomatic aneurysm: Pain or tenderness linked to an aneurysm can signal instability and may require prompt assessment.
• Aortoiliac aneurysm: Enlargement affects the lower aorta and may extend into the iliac arteries that carry blood towards the legs.
• Selected complex aneurysms: Some aneurysms close to important artery branches may be treatable with specially planned endovascular techniques.

Signs and Symptoms to Watch For

Many aneurysms are silent, but possible warning signs include:

• Persistent abdominal pain: A deep or constant ache may occur in the abdomen or along one side.
• Back pain: Unexplained pain in the lower back can sometimes be related to pressure from an enlarging aneurysm.
• Pulsating sensation: Some people notice a heartbeat-like movement or lump in the abdomen.
• Sudden severe pain: Abrupt abdominal or back pain may indicate leakage or rupture and requires emergency care.
• Collapse or faintness: Dizziness, weakness, sweating or loss of consciousness with pain can suggest internal bleeding.

When Other Treatments Are No Longer Enough

Medicines, smoking cessation and blood pressure control can reduce cardiovascular risk but cannot shrink or repair an established aneurysm. When surveillance shows concerning growth, symptoms or a higher rupture risk, the vascular team may recommend repair rather than continued monitoring.

Types of Endovascular Aneurysm Repair (EVAR)

The approach is selected according to the aneurysm’s anatomy:

• Standard repair: A bifurcated stent graft is placed below the kidney arteries and extends into both iliac arteries.
• Fenestrated repair: A customised or specially designed graft has openings that preserve blood flow to important branch arteries.
• Branched repair: A graft with branches may be used for selected complex aneurysms involving major arterial vessels.
• Iliac branch repair: This technique treats aneurysms extending into the iliac arteries while helping preserve pelvic blood flow.
• Emergency repair: In suitable patients with a leaking or ruptured aneurysm, urgent endovascular treatment may control bleeding.

Legal and Ethical Requirements in India

Before a planned procedure, the patient or authorised representative provides informed consent after receiving an explanation of the expected benefits, alternatives and material risks. Care follows applicable Indian regulations, hospital safety policies and accepted standards for approved medical devices, blood products, privacy and clinical documentation.

Arrange an evaluation at Apollo Hospitals, Gurugram if an aneurysm has been detected or is being monitored.

Risks of Delaying Endovascular Aneurysm Repair (EVAR)

Timing matters because aneurysm walls may continue to weaken, particularly when the swelling is large, growing quickly or causing symptoms.

Possible consequences of delaying advised treatment include:

• Aneurysm enlargement: Continued expansion generally increases wall tension and can make later repair more complex.
• Aortic rupture: The aneurysm may burst and cause massive internal bleeding that requires immediate emergency treatment.
• Circulatory shock: Severe blood loss can prevent vital organs from receiving enough oxygenated blood.
• Blood clot complications: Clot or debris within an aneurysm can travel downstream and reduce circulation to a leg or foot.
• Loss of treatment options: Changes in anatomy or a sudden emergency may reduce the feasibility of a planned minimally invasive approach.
• Death: A ruptured aortic aneurysm can be fatal despite urgent medical intervention.

Regular surveillance and timely specialist review help determine the safest point for intervention.

Seek urgent medical help for sudden severe abdominal or back pain, fainting or collapse.

Benefits of Endovascular Aneurysm Repair (EVAR)

For appropriately selected patients, the procedure may offer several advantages over open aortic surgery:

• Smaller incisions: Access is usually obtained through the groin arteries rather than through a large abdominal incision.
• Reduced physical stress: Avoiding open abdominal surgery may benefit selected older adults or people with other medical conditions.
• Shorter hospital stay: Many stable patients can leave hospital sooner than after open repair.
• Earlier mobilisation: Patients are often able to stand and walk within a relatively short period under supervision.
• Less early discomfort: Smaller access wounds may result in less postoperative pain than a large surgical incision.
• Faster initial recovery: Return to routine daily activities is often quicker, subject to clinical advice.

Results vary according to anatomy, age, general health and whether treatment is planned or performed during an emergency. Lifelong imaging follow-up is required because the graft and aneurysm sac must continue to be monitored.

Why Choose Apollo Hospitals, Gurugram for Endovascular Aneurysm Repair (EVAR)?

Apollo Hospitals, Gurugram brings together specialist expertise and organised hospital support for careful aneurysm management.

• Multidisciplinary assessment: Vascular specialists work with anaesthesia, cardiology, radiology, critical care and other teams when individual needs require their input.
• Detailed treatment planning: Computed tomography angiography, an X-ray scan that maps blood vessels, supports accurate graft selection and procedural planning.
• Advanced image guidance: Real-time X-ray imaging helps the treating team position the stent graft within the blood vessels.
• Patient-specific decisions: Recommendations consider aneurysm anatomy, medical fitness, personal preferences and available alternatives.
• Hospital-based support: Operating facilities, blood bank services, critical care and emergency teams are available if additional treatment becomes necessary.
• Structured follow-up: Clinical reviews and scheduled scans help detect graft movement, blockage or an endoleak, which is persistent blood flow around the graft.
• Clear communication: Patients and families receive practical guidance about preparation, recovery, medicines and long-term monitoring.

Preparation for Endovascular Aneurysm Repair (EVAR)

Specialist Evaluation

Your team will confirm whether your arteries can safely accommodate a stent graft.

• Share your history: Report heart, lung, kidney, bleeding and circulation problems, as these can influence planning.
• Discuss previous procedures: Tell the doctor about earlier vascular operations, stents or reactions to anaesthesia.
• Ask about alternatives: Understand why monitoring, open repair or an endovascular approach is being recommended.

Tests and Imaging

Pre-procedure investigations assess anatomy and general fitness.

• Complete prescribed scans: Computed tomography angiography measures the aneurysm and identifies suitable landing zones for the graft.
• Attend blood tests: These commonly assess blood count, clotting and kidney function before contrast dye is used.
• Complete fitness checks: An electrocardiogram and other heart or lung tests may be requested according to your health.

Medicines and Allergies

Medication instructions must be individualised by the clinical team.

• Provide a current list: Include prescriptions, non-prescription medicines, supplements and herbal products.
• Review blood thinners: Do not stop antiplatelet or anticoagulant medicines unless the treating doctor gives specific instructions.
• Report allergies: Mention previous reactions to contrast dye, medicines, latex or dressings.
• Discuss diabetes treatment: Insulin and tablets may need adjustment while you are fasting.

Health and Lifestyle

Simple measures may improve procedural safety and healing.

• Stop smoking: Ask for support because smoking increases cardiovascular and wound-related risks.
• Manage existing illness: Follow advice for blood pressure, blood sugar and respiratory conditions before admission.
• Report new symptoms: Inform the hospital about fever, infection, worsening pain or any change in health.

Admission Planning

Follow the hospital’s instructions closely on the day of admission.

• Observe fasting guidance: Stop food and liquids at the specified times to reduce anaesthesia-related risks.
• Arrange support: Plan for a responsible adult to assist after discharge and with transport home.
• Bring essentials: Carry identification, medical records, medicines and personal items requested by the hospital.

Recovery After Endovascular Aneurysm Repair (EVAR)

Early Hospital Recovery

Monitoring begins immediately after the procedure.

• Protect the access site: Remain in the advised position initially to reduce bleeding from the groin artery.
• Expect observations: Staff will monitor circulation, blood pressure, urine output and kidney function.
• Begin movement safely: Walk only when the clinical team confirms that it is appropriate.

Wound and Medicine Care

Discharge instructions help reduce avoidable complications.

• Keep wounds clean: Follow guidance for bathing, dressings and inspection of the groin area.
• Take medicines correctly: Use pain relief and cardiovascular medicines exactly as prescribed.
• Avoid self-medication: Check before taking anti-inflammatory drugs or supplements that may affect bleeding or kidneys.

Activity and Daily Routine

Activity usually increases gradually as comfort and strength return.

• Walk regularly: Short, gentle walks can support circulation without placing excessive strain on access wounds.
• Avoid heavy lifting: Wait until your specialist confirms that strenuous exercise and lifting are safe.
• Return to driving carefully: Resume only when you can move comfortably and are no longer taking impairing medicines.
• Maintain heart health: Follow advice on nutrition, smoking cessation and blood pressure control.

Follow-Up Imaging

Ongoing surveillance is essential even when recovery feels complete.

• Attend every review: Scheduled appointments assess symptoms, circulation and medicine needs.
• Complete surveillance scans: Ultrasound or computed tomography checks graft position and changes in the aneurysm sac.
• Keep lifelong records: Save implant details and scan reports for future medical visits.

Warning Signs That Need Urgent Medical Attention

Contact the treating team or emergency services if any of these occur:

• Severe new pain: Sudden abdominal, back, groin or leg pain needs prompt evaluation.
• Access-site bleeding: Persistent bleeding, rapidly increasing swelling or a painful groin lump requires urgent care.
• Reduced leg circulation: A cold, pale, numb or weak leg may indicate impaired blood flow.
• Possible infection: Fever, spreading redness, pus or worsening wound pain should be reported promptly.
• Breathing or neurological symptoms: Chest pain, breathlessness, facial drooping, speech difficulty or sudden weakness is an emergency.

Take the Next Step Towards Endovascular Aneurysm Repair (EVAR) Care

A timely vascular consultation can clarify whether surveillance or repair is appropriate. Apollo Hospitals, Gurugram is one of the best hospitals for Endovascular Aneurysm Repair (EVAR), with coordinated expertise focused on safe planning, informed decisions and dependable follow-up.

Bring the following documents to your consultation:

• Imaging records: Carry recent ultrasound, computed tomography or magnetic resonance scans with reports and image files.
• Medical summary: Include previous diagnoses, operations, hospital admissions and discharge papers.
• Medication list: Record medicine names, doses and any known drug or contrast allergies.
• Recent test results: Bring available blood tests, heart evaluations and kidney function reports.
• Identification and insurance papers: Carry applicable identity, referral, authorisation and coverage documents.

Contact Apollo Hospitals, Gurugram to book a vascular consultation and receive an individual assessment.

Frequently Asked Questions About Endovascular Aneurysm Repair (EVAR)

What are the risks of endovascular aneurysm repair?

Possible risks include bleeding, infection, contrast-related kidney injury, artery damage, reduced blood flow to a limb, heart or lung complications and an endoleak around the graft. The graft can rarely move, narrow or require another procedure. Risk depends on aneurysm anatomy and general health. Your specialist will compare these concerns with the danger of leaving the aneurysm untreated and explain measures used to reduce complications.

How will I know whether I need the procedure?

A vascular specialist assesses the aneurysm’s diameter, shape, location, growth pattern and symptoms using imaging. Your age, kidney function, heart and lung health, previous treatment and artery anatomy also affect the recommendation. Small stable aneurysms may only need surveillance and risk-factor control. Repair is more likely to be discussed when rupture risk is rising, symptoms develop or interval scans show concerning enlargement.

How can I schedule a consultation at Apollo Hospitals, Gurugram?

You can contact Apollo Hospitals, Gurugram through its official appointment channels and request a consultation with the appropriate vascular team. Mention that you have an aortic aneurysm diagnosis or imaging referral so the appointment can be directed correctly. Keep your scans, reports, medicine list and medical history ready. If you develop sudden severe abdominal or back pain, do not wait for a routine appointment; seek emergency care immediately.

Which specialists are involved in my care?

Care is led by clinicians trained in vascular and endovascular treatment. Depending on your medical needs, the team may include anaesthesiologists, imaging specialists, cardiologists, kidney specialists, critical care doctors, nurses and rehabilitation professionals. Their combined input helps determine fitness for treatment, select an appropriate graft strategy, manage existing illnesses and plan follow-up. The exact team varies because routine and complex aneurysms require different levels of support.

How long does recovery take after the procedure?

Many patients begin walking soon after treatment and leave hospital within a few days, but timing varies with procedural complexity, general health and any complications. Light daily activities may resume gradually, while strenuous exercise and heavy lifting must wait for medical clearance. Groin discomfort and tiredness can persist briefly. Recovery does not end when wounds heal; scheduled imaging remains necessary throughout life to monitor the graft and aneurysm.

Medical Disclaimer: This content provides general educational information and does not replace diagnosis, examination or advice from a qualified medical professional. Suitability, procedure risks, hospital stay and recovery differ for each patient; seek emergency medical help for sudden severe pain, collapse, breathing difficulty or other urgent symptoms.