St. Luke's Hospital
Located in Chesterfield, MO
Main Number: 314-434-1500
Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia


    Aortic aneurysm repair - endovascular- discharge

    AAA repair - endovascular - discharge; Repair - aortic aneurysm - endovascular - discharge; EVAR - discharge; Endovascular aneurysm repair - discharge

    You had endovascular aortic surgery repair to repair an aneurysm (a widened part) in your aorta, the large artery that carries blood to your belly (abdomen), pelvis, and legs.

    Your doctor made a small incision (cut) near your groin to find your femoral artery. Then your doctor inserted a stent and a manmade (synthetic) graft through the incision into the artery. The doctor used x-rays to guide the stent and graft up into your aorta where the aneurysm was located. The graft and stent were then opened up and attached to the walls of the aorta.

    What to Expect at Home

    If the doctor put a catheter in through your groin to place the graft:

    • You can walk short distances on a flat surface. Limit going up and downstairs to around 2 times a day for the first 2 to 3 days after the procedure.
    • Do NOT do yard work, drive, or play sports for at least 2 days, or for the number of days your doctor tells you to wait.


    You will need to take care of your incision.

    • Your doctor or nurse will tell you how often to change your dressing.
    • If your incision bleeds or swells up, lie down and put pressure on it for 30 minutes.

    Walk short distances 3 to 4 times a day. Slowly increase how far you walk each time. When you are not walking, try to keep your legs higher than the level of your heart.

    Ask your doctor about follow-up x-rays you will need to have to check if your new graft is okay.

    Your doctor may ask you to take aspirin or another medicine called clopidogrel (Plavix) when you go home. These medicines are blood thinners. They keep your blood from forming clots in your arteries or stent. Do not stop taking them without talking with your doctor first.

    See also:

    • Clopidogrel (Plavix)
    • Aspirin and heart disease

    Lifestyle Changes

    Endovascular surgery does not cure the cause of your aneurysm. Your arteries may become wide again. To prevent the aneurysm from coming back:

    • Eat a heart-healthy diet, exercise, stop smoking (if you smoke), and reduce stress to help lower your chances of having a blocked artery again.
    • Your health care provider may give you medicine to help lower your cholesterol. See also: Cholesterol - drug treatment
    • If you were given medicines for blood pressure or diabetes, take them as your doctor has asked you to.

    When to Call the Doctor

    Call your doctor or nurse if:

    • You have pain in your belly or back that does not go away or is very bad.
    • There is bleeding at the catheter insertion site that does not stop when pressure is applied.
    • There is swelling over at the catheter site.
    • Your leg or arm below where the catheter was inserted changes color, becomes cool to the touch, pale, or numb.
    • The small incision for your catheter becomes red or painful, or yellow or green discharge is draining from it.
    • Your legs are swelling.
    • You have chest pain or shortness of breath that does not go away with rest.
    • You have dizziness or fainting, or you are very tired.
    • You are coughing up blood or yellow or green mucus.
    • You have chills or a fever over 101 °F.
    • You have blood in your stools.
    • You are not able to move your legs.
    • If your belly starts to swell and is painful.


    De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD; DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010 May 20;362(20):1881-9.

    Gloviczki P, Ricotta JJ II. Aneurysmal vascular disease. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 65.

    Greenhalgh RM, Powell JT. Endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2008 Jan 31;358(5):494-501.

    Lederle FA, Kane RL, MacDonald R, Wilt TJ. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007 May 15;146(10):735-41.


    • illustration

      • illustration

      A Closer Look

        Self Care

          Tests for Aortic aneurysm repair - endovascular- discharge

            Review Date: 2/10/2011

            Reviewed By: Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

            A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.

            Back  |  Top
            About Us
            Contact Us
            Locations & Directions
            Quality Reports
            Annual Reports
            Honors & Awards
            Community Health Needs

            Brain & Spine
            Sleep Medicine
            Urgent Care
            Women's Services
            All Services
            Patients & Visitors
            Locations & Directions
            Find a Physician
            Tour St. Luke's
            Patient & Visitor Information
            Contact Us
            Payment Options
            Financial Assistance
            Send a Card
            Mammogram Appointments
            Health Tools
            My Personal Health
            Spirit of Women
            Health Information & Tools
            Clinical Trials
            Employer Programs -
            Passport to Wellness

            Classes & Events
            Classes & Events
            Spirit of Women
            Donate & Volunteer
            Giving Opportunities
            Physicians & Employees
            For Physicians
            Remote Access
            Medical Residency Information
            Pharmacy Residency Information
            Physician CPOE Training
            St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
            Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Notice of Privacy Practices PDF  |  Patient Rights PDF Sitemap St. Luke's Mobile