INTERVENTIONAL RADIOLOGY SERVICES
Aortic Aneurysm & Aortic Dissection Interventions
Aortic aneurysm and aortic dissection interventions include advanced, image-guided endovascular procedures used in the management of diseases affecting the thoracic and abdominal aorta. These interventions are performed based on detailed imaging assessment, clinical indication, and multidisciplinary decision-making.
Overview
Diseases of the aorta, such as aneurysms and dissections, are serious vascular conditions that may carry a high risk of complications if left untreated. Endovascular techniques allow treatment of the aorta through minimally invasive approaches using image guidance and specialized devices.
Interventional radiology plays an important role in selected patients by providing endovascular repair options that may reduce the need for open surgery in appropriately evaluated cases.
Clinical Indications
Aortic interventions may be considered in patients with:
- Thoracic aortic aneurysm
- Abdominal aortic aneurysm
- Acute or chronic aortic dissection
- Progressive aortic dilation
- Aortic pathology associated with pain or complications
- Aortic disease detected on imaging requiring intervention
Procedures Performed
- Thoracic endovascular aortic repair (TEVAR)
- Endovascular abdominal aortic aneurysm repair (EVAR)
- Endovascular stenting for aortic dissection
- Image-guided aortic angiography
- Endovascular management of aortic complications
Role of Interventional Radiology
Interventional radiology enables precise endovascular access to the aorta using real-time imaging guidance. These procedures are performed through small vascular entry points, allowing placement of stent grafts or devices to exclude diseased segments of the aorta.
Endovascular approaches may be considered in selected patients as alternatives to open surgical repair or as part of staged vascular management.
Approach and Patient Care
Management of aortic disease requires careful patient selection and detailed pre-procedure imaging, including assessment of aortic anatomy, branch vessels, and overall cardiovascular status.
Procedures are planned in coordination with vascular surgery, cardiology, anesthesia, and critical care teams. Post-procedure care includes close monitoring and follow-up imaging as indicated.
Related Conditions
- Thoracic aortic aneurysm
- Abdominal aortic aneurysm
- Aortic dissection
- Aortic vascular disease
Frequently Asked Questions
Are aortic interventions considered major procedures?
Yes. Aortic interventions are complex procedures and require careful evaluation, planning, and multidisciplinary care.
Are these procedures alternatives to open surgery?
In selected patients, endovascular approaches may be used instead of open surgery, depending on anatomy and clinical condition.
Is imaging required before aortic intervention?
Detailed imaging is essential to assess aortic anatomy and determine procedural suitability.
Is hospitalization required?
Most aortic interventions require hospital admission and post-procedure monitoring.
Consult an Interventional Radiologist
A detailed evaluation is essential to determine whether a hepato-biliary intervention is appropriate for your condition.