Endovascular Aneurysm Repair (EVAR)
Endovascular Aneurysm Repair (EVAR) treats abdominal aortic aneurysms through two small groin punctures instead of a large open abdominal incision. Dr. Pritee Sharma offers EVAR, fenestrated EVAR and TEVAR at Renova Century Hospital, Banjara Hills, Hyderabad — with the safety net of a fully equipped hybrid theatre.
An aortic aneurysm is a silent ballooning of the body's main artery. Once it ruptures, mortality exceeds 80%. EVAR seals the aneurysm from within using a custom-sized stent-graft, eliminating rupture risk while avoiding the trauma of open surgery.
Compared with open repair, EVAR offers significantly lower 30-day mortality, shorter ICU stay (often none), 2–3 day total hospital stay and return to normal activity within 2 weeks — even in patients in their 80s with heart and lung disease.
Long-term success requires careful planning: precise CT-angiography sizing, the right device for the anatomy, and disciplined lifelong imaging surveillance. Dr. Sharma personally reviews every case and follows patients long-term.
Take the next step toward healthier vessels
Book a consultation with Dr. Pritee Sharma at Renova Century Hospital, Banjara Hills.
Symptoms to watch for
- Pulsating swelling felt in the abdomen, often near the umbilicus
- Deep, gnawing back or abdominal pain
- Often completely asymptomatic — found on ultrasound or CT done for other reasons
- Sudden severe abdominal or back pain with collapse (rupture — emergency)
- Cold, painful foot from a clot dislodged from the aneurysm
Common causes & risk factors
- Atherosclerosis (the commonest cause)
- Smoking — single strongest risk factor
- Hypertension and high cholesterol
- Family history of aortic aneurysm
- Connective tissue disorders (Marfan, Ehlers-Danlos)
- Previous aortic dissection or trauma
How Dr. Pritee Sharma treats this condition
AAA Screening Ultrasound
A 10-minute abdominal ultrasound for all men over 65 and anyone with a family history — the simplest way to prevent rupture.
CT Angiography Planning
High-resolution 3-D mapping of the aneurysm, neck, iliac arteries and access vessels for precise stent-graft sizing.
Standard EVAR
Bifurcated stent-graft deployed through two small groin punctures under regional or general anaesthesia, completed in 90–120 minutes.
Fenestrated / Branched EVAR (FEVAR)
Custom-made stent-grafts with fenestrations for the kidney and visceral arteries — for short-neck and juxtarenal aneurysms.
TEVAR — Thoracic Endovascular Aortic Repair
Same principle for aneurysms and dissections of the thoracic aorta.
Hybrid Open + Endo Repair
Selected complex cases combine a short open exposure with endovascular stenting in a single operation.
Lifelong Surveillance
Structured CT and duplex surveillance at 1, 6 and 12 months and then yearly — essential after any aortic stent-graft.
Why early care matters
- Aneurysms detected before rupture are >95% repairable
- EVAR eliminates rupture risk with a 2–3 day hospital stay
- Suitable for elderly patients with heart and lung disease
- Significantly lower 30-day mortality than open repair
- Faster return to independence and family life
Why choose Dr. Pritee Sharma
- Surgeon trained in both open and endovascular aortic surgery
- Hybrid theatre for combined repair when needed
- Structured lifelong surveillance — not a fit-and-forget service
- Personal long-term follow-up by Dr. Sharma
- Cashless insurance support for major TPAs
Frequently asked questions
All men over 65, women over 65 with cardiovascular risk factors, and anyone with a first-degree relative who had an aneurysm. A single 10-minute ultrasound is enough.
Generally 5.5 cm in men, 5.0 cm in women, or any aneurysm growing rapidly, causing symptoms, or with a high rupture-risk shape.
Standard infrarenal EVAR takes 90–120 minutes. Total hospital stay is 2–3 days.
Most patients return to fully normal activity. Lifelong yearly imaging is essential to detect any late stent-graft issues.
What to expect during recovery
- ICU stay usually not required after standard EVAR
- Total hospital stay 2–3 days
- Back to light activity in 7–10 days
- Driving and travel in 2 weeks
- Lifelong yearly CT or duplex surveillance
- Continue antiplatelet, statin and BP medications lifelong
Why this matters in Hyderabad
- Aneurysm rupture remains a leading cause of avoidable sudden death in older Hyderabad men — AAA screening is dramatically under-used.
- Renova Century Hospital offers a hybrid cath-lab + theatre setup essential for safe EVAR with open backup.
- Dr. Sharma accepts complex referrals from across Telangana, Andhra Pradesh and adjoining states.
Dr. Pritee Sharma — Vascular & Endovascular Surgeon
21+ years of dedicated vascular and endovascular surgical experience.
- MBBS — Topiwala National Medical College, Mumbai
- MS (General Surgery)
- DNB Peripheral Vascular Surgery — Gold Medalist (awarded by the Hon'ble Ex Vice President of India)
- Fellowship in Endovascular Surgery
- Head of Department, Vascular & Endovascular Surgery — Renova Century Hospital, Banjara Hills, Hyderabad
- Former Consultant — Army Hospital Research & Referral, Delhi
- Member — Vascular Society of India (VSI)
- Member — Indian Association of Cardiovascular & Thoracic Surgeons
Concerned about endovascular aneurysm repair (evar)?
Get a personalised assessment and treatment plan from Dr. Pritee Sharma.