Penn Heart and Vascular

Abdominal Aortic Aneurysm Procedures at the Complex Aortic Disease Program

Quality & Outcomes: Abdominal Aortic Aneurysm Procedures

Treatment of Abdominal Aortic Aneurysms

Despite the large volume of endovascular AAA repairs, Penn vascular surgeons continue to perform complex open aortic aneurysm repairs with low morbidity and mortality. Penn serves as the largest referral center for complex aortic work in the region.

Most abdominal aortic aneurysms (AAAs) occur between the renal arteries and iliac arteries and affect as many as 8 percent of people over the age of 65 in the U.S. Penn has been a leader in the minimally invasive repair of AAAs for many years, having participated in every FDA-sponsored endovascular abdominal clinical device trial since 1996.

Treating Complex Abdominal Aortic Disease at Penn

The Division of Vascular Surgery and Endovascular Therapy has contributed to groundbreaking abdominal and thoracic endovascular stent graft-related clinical trials in United States since 1996, and is involved in continuing advances in diagnostic, therapeutic and database technology.

At Penn, Ronald Fairman, MD, had an instrumental role in the development of the first stent to receive FDA-approval for endovascular aortic repair (EVAR) of abdominal aortic aneurysms. EVAR is a percutaneous procedure that involves placing synthetic grafts or stents within the aneurysm via the femoral arteries.

EVAR and thoracic aortic repair (TEVAR) stent grafts are excellent options for patients at high risk of complications from conventional surgical aneurysm repair. The configuration of stent grafts has evolved to embrace the most complex and challenging aneurysms throughout the cardiovascular system, including those with short and long necks, extremes in diameter, and tortuous, angulated anatomy.

Elective Abdominal Endovascular Procedures
2012 volumes*

Graph showing Elective Abdominal Endovascular Procedures, 2012 volumes

*Volumes from Hospital of the University of Pennsylvania and Penn Presbyterian Medical Center

 Procedures:
a Elective Endovascular Thoracic Aortic Aneurysm Repairs
b Elective Endovascular Abdominal Aortic Aneurysm Repairs: (extraordinary operative mortality)
c Open AAA Repairs
d Complex Endovascular Abdominal Aortic Aneurysm Repairs (fenestrated, branched and snorkels)
e Open Thoracoabdominal Aneurysm Repairs

Penn Heart & Vascular Clinical Activity Reports

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