EVAR — Endovascular Aneurysm Repair in Hyderabad
EVAR is a minimally invasive alternative to open surgery for abdominal aortic aneurysm (AAA). A custom stent-graft is delivered through the groin arteries, sealing the aneurysm from within — patients typically walk within 24 hours and go home in 3–4 days.
An abdominal aortic aneurysm is a life-threatening ballooning of the main body artery. Once it exceeds 5.5 cm in men (5.0 cm in women), the rupture risk rises sharply — ruptured AAA carries over 80% mortality.
EVAR uses a bifurcated stent-graft, deployed under fluoroscopy through two small groin punctures. There is no abdominal incision, no bowel handling, and blood loss is minimal.
Dr. Sharma plans each case with a dedicated CT aortogram, choosing between standard, fenestrated (FEVAR) or chimney configurations for complex anatomy.
Take the next step toward healthier vessels
Book a consultation with Dr. Pritee Sharma at Renova Century Hospital, Banjara Hills.
Symptoms to watch for
- Often silent — detected on routine ultrasound or CT
- Deep, throbbing abdominal or back pain
- Pulsatile mass felt in the upper abdomen
- Sudden severe back / flank pain — impending rupture, emergency
Common causes & risk factors
- Atherosclerosis and ageing arteries
- Smoking (single largest modifiable risk factor)
- Hypertension
- Family history of aneurysm
- Connective tissue disorders (Marfan, Ehlers-Danlos)
How Dr. Pritee Sharma treats this condition
Standard EVAR
Bifurcated stent-graft for infra-renal AAA — the most common configuration.
Fenestrated EVAR (FEVAR)
Custom graft with holes aligned to kidney and gut arteries, for aneurysms extending above the renal arteries.
Chimney / Snorkel EVAR
Parallel stents preserve branch vessels in urgent cases where a custom graft cannot wait.
Iliac Branch Device
Preserves pelvic blood flow when the aneurysm extends into the iliac arteries.
Emergency EVAR for Rupture
Life-saving stent-graft deployment for ruptured AAA — significantly better survival than open repair.
Why early care matters
- Prevents catastrophic aneurysm rupture
- Avoids a large abdominal incision
- Suitable for elderly and high-risk cardiac patients
- Dramatically shorter hospital stay vs open repair
- Immediate and durable seal in >95% of cases
Why choose Dr. Pritee Sharma
- Hybrid theatre and modern imaging at Renova Century Hospital
- Full range of stent-graft platforms available
- Dedicated aortic follow-up clinic
- Multidisciplinary anaesthesia and cardiology team
Frequently asked questions
EVAR is done through two small groin punctures with no abdominal incision. Hospital stay is 3–4 days vs 8–10 days for open repair, and recovery is much faster.
Most infra-renal AAAs ≥5.5 cm in men (5.0 cm in women), symptomatic aneurysms of any size, and ruptures are candidates. Anatomy is assessed with CT aortogram.
Yes. A yearly duplex or CT is essential to detect endoleaks or sac enlargement — early detection allows simple re-intervention.
Technical success is over 98% in appropriate anatomy, with 30-day mortality under 2% for elective repairs — significantly better than open repair in most patients.
What to expect during recovery
- ICU observation for 12–24 hours
- Walk within 24 hours, discharge in 3–4 days
- Return to normal activity in 2–3 weeks
- Lifelong surveillance CT/duplex at 1, 6, 12 months, then yearly
- Strict BP control and smoking cessation
Why this matters in Hyderabad
- Hyderabad's IT, BPO and corporate workforce spend 9–12 hours seated daily — a leading driver of varicose veins, DVT and venous reflux in patients under 45.
- High prevalence of diabetes across Telangana (over 14% of urban adults) makes diabetic foot disease and PAD some of the most common limb-threatening conditions seen at Renova Century Hospital.
- Hot, humid summers and prolonged standing in retail, teaching and healthcare further increase the burden of chronic venous insufficiency in Hyderabad and Secunderabad.
- Patients travel to Banjara Hills for vascular care from across Telangana, Andhra Pradesh, Karnataka and Maharashtra — Dr. Sharma's team coordinates out-station travel, imaging review and cashless insurance.
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 evar (endovascular aneurysm repair)?
Get a personalised assessment and treatment plan from Dr. Pritee Sharma.