Your abdominal ultrasound is performed by a specially trained technician called a sonographer. During this procedure, you lie on your back and a small amount of warm gel is applied to your abdomen.
The function of this gel is to eliminate the formation of air pockets between the skin and an instrument known as a transducer.
Afer the abdominal ultrasound, the doctor will discuss the results of the procedure with you at a later time.
In most cases, if no aneurysm or other problems are discovered, your doctor will recommend additional screening. If an aneurysm or any other problem are found, your doctor will discuss further tests and treatment options with you.
In cases where your aneurysm is smaller than about 2 inches or 5 centimeters in diameter, your doctor may not think that your aneurysm is not serious enough to require surgery. If this is the case, the doctor may monitor your condition using ultrasound exams or other imaging tests usually every 6 to 12 months.
Open aneurysm repair
If an aneurysm is serious enough to require surgery, your doctor may require an open aneurysm repair. In this procedure, your doctor opens your abdomen, removes the portion of your abdominal aorta which has an aneurysm and replaces it with a tubelike graft.
Endovascular stent graft
This procedure reinforces the weakened portion of the abdominal aorta with a graft similar to the one used for open aneurysm repair. This less invasive procedure has the doctor attaching a synthetic graft to the end of a catheter that is inserted into an artery in your leg and threaded up into our aorta. The graft is a woven tube covered by a metallic mesh support.
It is placed at the site of an aneurysm and fastened in place with small hooks and pins. Recovery time for individuals with endovascular surgery is generally shorter than for people who have had open surgery.
However, follow-up appointments are more frequent because endovascular grafts can leak. Long-term survival rates are similar for both endovascular surgery and open surgery.
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