02 November 2017
First case of successful EVAR in KPK
Abdominal Aortic Aneurysm (AAA) is abnormal dilatation of the aorta (largest vessel of the body). If this aneurysm ruptures it leads to death within a few hours. It doesn’t cause any symptoms and patients therefore don’t know about it. It is a disease of the elderly (above 60s). Traditionally it’s fixed with open surgery that is associated with high perioperative mortality, prolonged hospital stay and complications. Endovascular Abdominal Aortic Aneurysms Repair (EVAR) is a minimally invasive approach in which the abdominal aortic aneurysm (AAA) is repaired by placing stents via small puncture in the groin artery to seal the AAA. It is now considered as standard treatment for AAA around the globe. This requires planning, technology and skills and is considered as a challenging procedure. The first procedure was successfully performed by Dr Aman Nawaz Khan (Interventional Radiologist) and Dr Azam Jan (Cardiovascular surgeon) at Rehman Medical Institute, Peshawar. Dr Ayman proctored the case from COOK Medical. The patient is 72 years old male with 7.5 cm AAA. The procedure was performed on Saturday 28/10/2017. The patient made an uneventful recovery and was discharged on Monday 30/10/2017. No intra or post procedural complication was encountered.
This is the first case of successful EVAR in KPK and is one of the handful cases performed in the country. It’s a landmark achievement for the RMI vascular team and will allow us to become a center that offers open and endovascular treatment (minimally invasive treatment) for aortic diseases. We are starting a screening program for Aortic aneurysm and Carotid stenosis where patients above age 60 will be assessed for both diseases at RMI.