How it is found
Most aneurysms are found by chance, or by screening. Ultrasound measures the diameter of the aorta in a few minutes; CT scanning gives the detailed map used to plan any repair.
Treatment options
- Watchful waiting with annual scans and risk-factor control for small aneurysms
- Endovascular repair (EVAR / TEVAR) — a stent graft placed through small groin punctures, usually a two-night stay
- Fenestrated and branched grafts for aneurysms involving the kidney and bowel arteries
- Open surgical repair where anatomy or age makes it the more durable choice
- Hybrid procedures combining both approaches for complex disease
Afterwards
Stent grafts are followed with periodic scans for life to confirm the repair remains sealed. Prof Sultan's team runs a dedicated surveillance programme, and has published extensively on detecting and managing late endoleaks.
