TEVAR — Thoracic Endovascular Aortic Repair in Hyderabad
TEVAR is a minimally invasive stent-graft procedure for thoracic aortic aneurysm, penetrating aortic ulcer and complicated Type B aortic dissection. Delivered through the femoral artery, TEVAR excludes the diseased aorta without opening the chest.
The thoracic aorta runs from the aortic arch to the diaphragm. Aneurysms, dissections, ulcers and traumatic transections in this region historically required a thoracotomy with lung deflation and cardiopulmonary bypass — a high-risk operation.
TEVAR replaces most of those open procedures with a percutaneous or small-groin-cut approach. A covered stent-graft is deployed to seal the diseased segment, restoring normal flow to the true lumen.
Dr. Sharma plans every TEVAR with a dedicated CT aortogram, choosing landing zones that preserve the arch vessels — using chimney or debranching techniques when necessary.
Take the next step toward healthier vessels
Book a consultation with Dr. Pritee Sharma at Renova Century Hospital, Banjara Hills.
Symptoms to watch for
- Deep chest or upper-back pain
- Hoarseness of voice (compression of recurrent laryngeal nerve)
- Difficulty swallowing
- Sudden tearing chest pain radiating to back (dissection — emergency)
- Often silent — found on chest imaging
Common causes & risk factors
- Atherosclerosis and hypertension
- Aortic dissection
- Connective tissue disorders (Marfan, Loeys-Dietz)
- Chest trauma (traumatic transection)
- Bicuspid aortic valve
How Dr. Pritee Sharma treats this condition
Standard TEVAR
Single stent-graft for descending thoracic aortic aneurysm.
Zone-2 TEVAR with LSA Coverage
Left subclavian artery coverage with revascularisation to extend the proximal seal.
Chimney / Branched TEVAR
Preserves arch vessels when the aneurysm extends toward the arch.
Emergency TEVAR for Complicated Dissection
Life-saving in Type B dissection with malperfusion or rupture.
Trauma TEVAR
Rapid deployment for blunt thoracic aortic injury after high-speed accidents.
Why early care matters
- Avoids thoracotomy and cardiopulmonary bypass
- Dramatically lower blood loss and morbidity
- Same-week option for symptomatic aneurysm
- Life-saving in acute complicated Type B dissection
- Shorter ICU and hospital stay vs open repair
Why choose Dr. Pritee Sharma
- Hybrid operating theatre with CT-quality intra-op imaging
- Complete arch-branch and TEVAR device inventory
- Multidisciplinary aortic team — vascular, cardiac, anaesthesia
- Long-term aortic surveillance clinic
Frequently asked questions
EVAR treats the abdominal aorta, TEVAR treats the thoracic (chest) aorta. Both use covered stent-grafts delivered through the femoral artery.
Yes — TEVAR is now first-line for complicated acute Type B dissection with malperfusion, rupture or refractory pain. Uncomplicated Type B is often managed medically first.
4–5 days on average — significantly shorter than the 10–14 days typical after open thoracic aortic surgery.
Yes. Yearly CT surveillance is standard, along with strict blood pressure control and lifelong cardiovascular risk management.
What to expect during recovery
- ICU stay for 24–48 hours
- Hospital discharge in 4–5 days
- Spinal cord protection protocol (CSF drainage in select cases)
- Strict BP and heart-rate control lifelong
- Follow-up CT at 1, 6, 12 months, then yearly
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 tevar (thoracic aortic repair)?
Get a personalised assessment and treatment plan from Dr. Pritee Sharma.