title: [Nursing care of endovascular aneurysm repair patients].
abstract: The treatment of aortic disease previously used conventional open surgery to replace the aorta with artificial vascular prosthesis after resecting the lesioned segment. The recently developed technique of endovascular aneurysm repair (EVAR) uses a stent graft to reinforce the diseased aortic wall while allowing blood flow continuity and preventing further aortic expansion, dissection and aortic rupture. Taiwan's National Health Insurance now covers payment for authorized EVAR procedures, making treatments safer for patients who are elderly, have congestive heart failure, have multiple comorbidities, or have other high-risk factors. EVAR is gradually replacing previous methods to become the primary treatment approach for aortic disease. This article discusses the development of EVAR, indications, operative procedures, complications, postoperative risk factors, and clinical nursing problems. We hope that this article provides new information on nursing care for patients undergoing endovascular aneurysm repair surgery.
authors.affiliation: Department of Cardiovascular Surgery, Mackay Memorial Hospital, Taiwan, ROC.
authors.forename: Ya-Fen
authors.initials: YF
authors.lastname: Fan
authors.affiliation: Department of Cardiovascular Surgery, Mackay Memorial Hospital, Taiwan, ROC.
authors.forename: Chen-Yen
authors.initials: CY
authors.lastname: Chien
authors.affiliation: Department of Nursing, Mackay Memorial Hospital, Taiwan, ROC.
authors.forename: Hui-Yuan
authors.initials: HY
authors.lastname: Yang
authors.affiliation: Department of Nursing, Mackay Memorial Hospital, Taiwan, ROC. jung@ms2.mmh.org.tw.
authors.forename: Jung-Mei
authors.initials: JM
authors.lastname: Tsai
mesh_terms: D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000451:nursing*; D057510:Endovascular Procedures / Q000451:nursing*; D006699:Home Care Services; D006801:Humans; D015607:Stents
keywords: aortic stent graft; endovascular aneurysm repair; nursing