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Your surgeon has recommended Endovascular Aneurysm Repair (EVAR) to treat your aneurysm. There are 3 types of EVAR. The type of operation you have will depend on the location and nature of your aneurysm:
Endovascular aneurysm repair (EVAR) is repair of an abdominal aortic aneurysm and/or iliac aortic aneurysm.
Thoracic endovascular aneurysm repair (TEVAR) is repair of a thoracic aneurysm.
Advanced EVAR requires repair of a thoracoabdominal aortic aneurysm, or one close to the kidney arteries, often using a custom-made graft with branches or openings (fenestrations) to re-attach important arteries of the thoracic and/or the abdominal aorta.
You will have an appointment at the Pre-Admission Clinic within 2 weeks before your operation. This visit is very important to assess your health and help you prepare for your surgery and recovery. Plan for your visit to take 2 to 5 hours. On the day of your pre-admission visit, take your medications and eat as usual, unless you were given other instructions.
Pre-Admission Clinic at
Toronto General HospitalEaton Building – Ground Floor, Room 400
What should I bring to my pre-admission appointment?
What happens during my pre-admission visit?
Depending on your needs, you may also meet:
Stop smoking before your surgery: learn how smoking and tobacco can affect your recovery after surgery, and how
quitting can improve your health.
What Should I do the day of my surgery
Arrive 2 hours before your scheduled operation time.
Surgical Admission Unit (SAU) at
Toronto General HospitalPeter Munk Building – 2nd FloorAll hospital entrances are open by 6:00 am. However, Elizabeth St. and University Ave. are easiest to access.
You will stay in the Post Anesthesia Care Unit (PACU) for a few hours. After you have recovered, you will be moved to the Cardiovascular Intensive Care Unit (CVICU). Your nurse will closely monitor your health until you are ready to be discharged or transferred to the Vascular Surgical Inpatient Unit.
What can I expect to have on my body?
You will be attached to some or all of these machines and tubes:
Where and when
All follow-up is done by your family doctor and/or your surgeon. We will try to give you a schedule of all your follow-up appointments (or mail it to you) right after your discharge or clinic visit. If you do not know your next appointment, please call your surgeon's office.
To make or change appointments, call your surgeon's office.
Your surgeon strongly recommends that you make a commitment to lifelong follow-up of your stent graft. Your graft should be checked regularly every 6 to 12 months.
Who do I call with general post-operative questions?
Call your surgeon's office:
Dr. John ByrnePhone: 416 340 3996
Dr. Thomas Forbes Phone: 416 340 3274
Dr. Kathryn HowePhone: 416 340 5193
Dr. Thomas LindsayPhone: 416 340 4620
Dr. George OreopoulosPhone: 416 340 3275
Dr. Graham Roche-NaglePhone: 416 340 5332
Dr. Barry RubinPhone: 416 340 3645
Ryo Ramcharan, EVAR Coordinator416 340 4800 ext. 5202
Cindy Dickson, Vascular Clinic Nurse416 340 3857
Sue DeVries, Nurse Practitioner416 340 4266
Alex Papadopoulos, Nurse Practitioner416 340 5677
Who do I call if I experience complications
Go to the hospital nearest emergency room if you have:
Visit your family doctor or go to a walk-in clinic if you have non-urgent concerns such as: