Fletcher Allen, a Vermont university hospital and medical center, serves all of
Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
Abdominal Aortic Aneurysm (AAA) Treatments
Abdominal Aortic Aneurysm (AAA) Treatments in Burlington, VT
Treatment for abdominal aortic aneurysms involves either regular
monitoring, or surgery. The treatment that is right for you will depend
upon the size, shape, and growth patterns of your aneurysm.
At Fletcher Allen, our board certified and specially trained physicians offer expert care in a personalized manner, working closely with patients and their families. We offer the latest treatments and therapies available for abdominal aortic aneurysms.
We are committed to patient education through all stages of your treatment. We want to make sure you and your family have all the information you need to make the best decisions about your care.
If your AAA is small, regular observation and monitoring may be all that is required. Fletcher Allen vascular surgeons will monitor your aneurysm on a regular basis with periodic ultrasounds, to detect any changes in size.
If you have high blood pressure, blood
pressure medication may be prescribed by your primary care physician to
reduce pressure on the weakened area of the aorta.
In addition, our vascular team can refer you to refer you to other services, such as smoking cessation, that can help control growth of the aneurysm.
If your aneurysm is causing symptoms, is larger than 5 or 5.5 centimeters, or is found to be growing, a surgical procedure may be needed.
Fletcher Allen vascular surgeons are highly trained in performing AAA
surgical procedures for abdominal aortic aneurysms. Patients can be
assured of working with experienced and knowledgeable surgeons, with
access to the latest, cutting-edge equipment.
There are two main types of surgery to repair an AAA. These include:
- Open Repair - With an open surgical repair, your vascular surgeon will make an incision in your abdomen and replace the weakened part of your aorta with a synthetic tube-like device called a graft, which is sewn into place. The graft takes the place of the weakened part of the aorta. It allows blood to pass easily through the aorta.
- Endovascular AAA Repair -This is a less invasive procedure known as endovascular AAA repair (EVAR). With this surgery, vascular surgeons place a fabric and metal tube called a stent graft (or endograft) into the weakened aorta. The stent graft is placed through small incisions in your leg. The stent graft is guided through a catheter – a long, thin tube – and placed into the leg artery under X-ray guidance. The endovascular stent graft strengthens the weakened section of the aorta to prevent the aneurysm from rupturing.
Shorter recovery time
Recovery time is usually shorter than for open surgery. Hospital
stays are reduced to 1 – 3 days. Long-term follow-up care is needed to
monitor the stent graft.
Whether or not you are a good candidate for endovascular surgery depends on the shape of your aneurysm and other factors. Your surgeon will help you decide the best method of treatment for you.
Find a Fletcher Allen physician or call 802-847-4548.
Learn more about diagnosis for abdominal aortic aneurysms (AAA).