TEVAR Procedure in Ahmedabad – Treating Thoracic Aortic Disease Without Open Surgery

The thoracic aorta – the section of the body’s main artery that runs through the chest – is a vessel where disease can be lethal without warning. An aortic aneurysm that ruptures, or an aortic dissection where the vessel wall tears, are among the most time-critical emergencies in all of medicine. 

The TEVAR procedure in Ahmedabad – Thoracic Endovascular Aortic Repair – has transformed the management of thoracic aortic disease in the same way that EVAR transformed abdominal aneurysm treatment: by replacing a major open surgical operation with a catheter-based approach that achieves the same result with dramatically less physiological impact. 

At EPIC Multispecialty Hospital, TEVAR is performed by a combined vascular and cardiac surgical team with specific experience in thoracic aortic disease – both in planned cases and in the emergency setting, where speed and precision determine survival. 

When Is the TEVAR Procedure Used?

• Thoracic aortic aneurysm: A localised enlargement of the thoracic aorta. When the diameter exceeds 5.5 to 6 centimetres (or grows rapidly), rupture risk increases significantly. TEVAR deploys a covered stent graft inside the aneurysm, excluding it from blood flow and preventing further expansion or rupture. 

• Type B aortic dissection: A tear in the inner layer of the descending thoracic aorta, allowing blood to enter the vessel wall and create a false lumen. Complicated dissections – those causing organ ischaemia, expanding, or rupturing – are increasingly treated with TEVAR rather than open surgery. 

• Penetrating aortic ulcer: A focal erosion through the inner aortic wall, which can progress to dissection or rupture. Symptomatic or high-risk ulcers in the thoracic aorta are suitable for TEVAR. 

• Traumatic aortic injury: High-speed blunt trauma – motor vehicle accidents, falls from height – can tear the aorta at the aortic isthmus. Thoracic aortic injury is a surgical emergency, and TEVAR has become the preferred treatment at experienced centres. 

• Endovascular repair as preferred approach: Where anatomy is suitable, TEVAR avoids thoracotomy, single-lung ventilation, and aortic cross-clamping – the elements of open thoracic aortic surgery that carry the highest risk. Recovery after TEVAR is substantially faster. 

What TEVAR at EPIC Hospital in Ahmedabad Actually Involves

TEVAR is performed in our hybrid operating theatre – a facility configured for both open surgery and endovascular procedures simultaneously. The patient is under general anaesthesia. Through an incision in the groin, a large-bore sheath is introduced into the femoral artery and advanced under X-ray guidance through the abdominal aorta into the thoracic segment. 

The stent graft – a metal scaffold covered with a fabric sleeve – is delivered through the sheath in a compressed state and deployed at the target location. As it expands, it lines the inside of the diseased aortic segment, excluding the aneurysm or sealing the false lumen in a dissection. The fabric prevents blood from entering the treated zone. The aortic wall, no longer under pulsatile pressure, gradually thromboses and remodels. 

The procedure takes 1 to 3 hours depending on complexity. Patients are typically in ICU for 24 hours post-procedure and discharged within 3 to 5 days – compared to 10 to 14 days for open thoracic aortic surgery and a recovery measured in months rather than weeks. 

Long-term follow-up after TEVAR requires CT angiography at regular intervals – typically at 1 month, 12 months, and annually thereafter – to confirm graft position, exclude endoleaks (residual blood flow outside the graft), and detect any late complications. This surveillance is a permanent part of TEVAR aftercare and is managed by our vascular team at EPIC Hospital in Ahmedabad.

TEVAR Questions – What You Should Know Before Proceeding 

Is TEVAR suitable for all thoracic aortic aneurysms? 

No – anatomy determines suitability. TEVAR requires an adequate ‘landing zone’ – a segment of healthy aortic tissue above and below the aneurysm where the stent graft can seal without compromising major branch vessels. Aneurysms that begin very close to the aortic arch, or that involve the origin of important vessels, may require hybrid or open surgery. A CT angiogram is essential for planning. 

What is an endoleak and how is it managed after TEVAR? 

An endoleak is residual blood flow outside the stent graft but inside the aneurysm sac – meaning the aneurysm is still pressurised. Some endoleaks are clinically significant and require treatment (by additional stenting or embolisation); others are minor and resolve spontaneously. This is exactly why regular surveillance CT is a non-negotiable part of TEVAR follow-up. 

Is TEVAR available as an emergency procedure at EPIC Hospital in Ahmedabad? 

Yes. Thoracic aortic emergencies – ruptured aneurysms, complicated Type B dissections, traumatic aortic injury – can be treated with emergency TEVAR at EPIC Hospital. Our hybrid theatre is available around the clock for these situations. Time to treatment is a critical determinant of outcome. 

What are the risks of TEVAR compared to open thoracic aortic surgery? 

TEVAR’s main advantage over open surgery is significantly lower perioperative mortality and morbidity – particularly in elderly patients or those with lung or cardiac comorbidities. The main risks specific to TEVAR include endoleak, stent graft migration over time, and spinal cord ischaemia (paraplegia) – the latter being rare but serious, and managed with cerebrospinal fluid drainage protocols in high-risk cases.

TEVAR in Ahmedabad – Aortic Disease Treated With Precision at EPIC Hospital

The TEVAR procedure in Ahmedabad at EPIC Multispecialty Hospital offers patients with thoracic aortic disease a modern, less invasive treatment option – with outcomes that, for suitable patients, match or exceed open surgery while dramatically reducing the physiological burden of treatment. 

Book a TEVAR assessment consultation online, call our vascular and cardiothoracic team today, WhatsApp your CT aortic angiography for anatomy review, or visit EPIC Hospital in Ahmedabad – and get the thoracic aortic care your condition demands.