What Is EVAR?
EVAR uses the same underlying principle as TEVAR, but treats aneurysms in the abdominal aorta rather than the chest. A stent-graft is placed inside the weakened section of the vessel, reinforcing it from within.
How Is EVAR Done?
Pre-procedure CT imaging maps the aneurysm's exact size and the surrounding blood vessels
A stent-graft is guided via catheter, typically from an artery in the groin
It’s positioned across the weakened section of the abdominal aorta under live imaging
Once deployed, the stent-graft reinforces the vessel wall, reducing rupture risk
Who Needs EVAR?
Patients with an abdominal aortic aneurysm that has reached a size where treatment is recommended
Patients with suitable vessel anatomy for a stent-graft
Patients for whom open abdominal surgery carries higher risk
What Are the Risks of EVAR?
Bleeding or vascular access complications
Endoleak (blood flow persisting around the stent-graft)
Stent-graft migration over time
Infection
Frequently Asked Questions
How is recovery from EVAR different from open aneurysm surgery?
Recovery is typically much shorter — many patients are up and moving within a day or two, with a hospital stay of a few days rather than a week or more.
Will I need lifelong monitoring after EVAR?
Yes, periodic imaging is recommended to ensure the stent-graft remains properly positioned and the aneurysm stays stable.
About Dr. Abhishek Rajpopat
Dr. Abhishek Rajpopat brings 14+ years of experience in cardiology, including 750+ TAVR procedures performed globally. He specializes in advanced structural heart procedures and follows a patient-centered approach focused on complete, individualized care. His work has been recognized with multiple honors, including a Gold Medal in Cardiology. To discuss whether this procedure is right for you or a family member, visit www.drabhishekrajpopat.com.
