Mayo stand and back table instruments for Endovascular AAA surgery setup
Clamping & Occluding
Cooley Coarctation Clamp
Hemostatic Clip Applier
Right Angle Clamp
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing
Suturing & Stapling
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.
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.