Mayo stand and back table instruments for Endovascular AAA surgery setup

Clamping & Occluding

  • Bulldog Clamp

    Bulldog Clamp

  • Cooley Coarctation Clamp

    Cooley Coarctation Clamp

  • Curved Hemostat

    Curved Hemostat

  • Fogarty Clamp

    Fogarty Clamp

  • Hemostatic Clip Applier

    Hemostatic Clip Applier

  • Right Angle Clamp

    Right Angle Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Potts Smith Scissors

    Potts Smith Scissors

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Dieth Vascular Tissue Forceps

    Debakey Dieth Vascular Tissue Forceps

  • Debakey Forcep

    Debakey Forcep

  • Gerald Debakey Tissue Forceps

    Gerald Debakey Tissue Forceps

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Cushing Vein Retractor

    Cushing Vein Retractor

  • Freer Skin Hook

    Freer Skin Hook

Suctioning

  • Ferg-Frazier Suction

    Ferg-Frazier Suction

  • Vascular Suction Tube

    Vascular Suction Tube

Suturing & Stapling

  • Castroviejo Needle Holder

    Castroviejo Needle Holder

  • Micro Vascular Needle Holder

    Micro Vascular Needle Holder

  • Ryder Needle Holder

    Ryder Needle Holder

What to expect during Endovascular AAA

Patients are usually sedated or injected with a local anesthetic. Sometimes they are put under general depending on their circumstances.

The surgeon will cut the skin over femoral artery in the groin. Once they dissect down to the artery, they will insert a wire into the femoral artery and pass it up to the aneurysm.

Contrast dye will be used throughout the case so that they can see where they are under x-ray for visualization.

A tube will then be placed over the wire. This is preparing for the graft to be inserted which is the next step.

A sheath is used to insert the graft. Once they see the graft is in the correct spot, the sheath will be removed and the graft will expand into the surrounding artery.

The incision can be closed.

Tips:
The open abdominal AAA set should be close by in case the surgeon cannot do it the way they originally planned.

Have balloons and pigtail sheaths available just in case.

Have contrast dye, heparinized saline, and regular saline on your back table and flush all the wires you get and keep them flushed each time they are used.

Wear lead to protect you from x-ray.

Have ties and clips at the ready in case the surgeon quickly needs them.

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