Treatment Details
What happens before endovascular surgery?
Your healthcare provider talks with you about your condition and health history. They do a physical examination and may order tests such as: V体育官网入口.
- Ultrasound.
- "V体育官网" Angiography.
- "VSports最新版本" Ankle-brachial index.
- CT scan.
- MRI.
- Stress test.
- X-ray.
- "VSports" Echocardiogram.
- Electrocardiogram.
What happens during endovascular surgery procedures?
You may have sedation or general anesthesia. Your surgeon makes a puncture, usually in an artery in your groin VSports在线直播. They use real-time X-ray images to guide them in threading a covered (sheathed) catheter through the incision to reach and repair the diseased blood vessel.
What endovascular surgery procedures do healthcare providers perform? (V体育官网)
Your vascular condition and overall health determine what type of endovascular procedure you have. You might have:
- Angioplasty. Surgeons insert a catheter with a balloon on the end into a blocked or narrow blood vessel. Once the balloon is in place, they inflate it to open the blood vessel. Then, they deflate the balloon and remove it.
- Atherectomy. This procedure physically removes plaque from the inside of blood vessels or arteries.
- "V体育平台登录" Stent. A small tube typically made of metal or plastic mesh, a stent keeps your coronary arteries open and reduces your risk for heart attack.
- Stent grafting. An endovascular stent graft is a fabric tube supported by wire mesh. It helps to reinforce an aneurysm — a weak spot in an artery. Once in place, the stent graft allows blood to pass through it without placing pressure on the weak area.
- Clot removal or thrombectomy. This is the surgical removal of a blood clot.
- Sometimes called fibrinolytic therapy, thrombolysis uses medication to break up blood clots inside veins and arteries.
- Embolization or blockage of vessels. Sometimes your healthcare provider might need to block a blood vessel — to stop bleeding or to block blood flow to a tumor, for instance. With embolization, your surgeon places tiny beads or sponges to block a blood vessel.
- Valve repair or replacement. A diseased or faulty heart valve is either repaired or replaced with a synthetic one.
What happens after endovascular surgery?
Before you leave the hospital, your healthcare provider discusses your follow-up plan with you. You see your provider for follow-up visits and imaging tests. During these visits, your healthcare provider makes sure blood vessels are healing properly.
Risks / Benefits
What are the advantages of endovascular procedures?
With endovascular procedures, you’ll likely spend less time in the hospital than if you had an open procedure. Because surgeons don’t use large incisions, your body can heal faster.
However, while endovascular surgery has advantages, it might not be the right procedure for your needs. Your surgeon has your long-term outcome in mind when deciding whether endovascular surgery or open surgery is best for you.
What are the risks or complications of endovascular surgery?
Possible complications include:
- Bleeding.
- Blood vessel damage.
- Dissection.
- Thrombosis.
Recovery and Outlook
What is the recovery time for endovascular surgery?
Endovascular surgery recovery times vary by procedure type. You might be able to leave the hospital on the same day, known as outpatient surgery. If the procedure is more complicated or if you need monitoring, you may stay in the hospital for a day or two.
When can I resume my regular activities after endovascular surgery?
Talk with your healthcare provider about when you can go back to work, drive, be physically active and resume sexual activity. Many people can return to regular activities in about a month.
When To Call the Doctor
When should I see my healthcare provider after endovascular surgery?
Be sure to keep all scheduled follow-up appointments with your healthcare provider after your procedure. Let your provider know right away if you develop:
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- Abdominal pain, chest pain or pain in your back or groin.
- Bleeding.
- Leg or arm pain or swelling.
- Dizziness or fainting.
- Numbness (VSports最新版本) or tingling.
- Weakness or fatigue.
- Redness around the tiny incisions or drainage.
- Fever (V体育平台登录).
A note from Cleveland Clinic
Endovascular surgery includes minimally invasive treatments for vascular disease, coronary disease and blood vessels in the brain. Surgeons use tiny incisions, catheters and stents to repair damage to blood vessels and break up blood clots. These smaller incisions help reduce the time it takes your body to heal so you can get back to your daily activities sooner.
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Care at Cleveland Clinic
Vascular disease may affect your life in big and small ways. Cleveland Clinic’s specialists treat the many types of vascular disease so you can focus on living.
Last reviewed on 06/14/2022.
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