TECHNOLOGIES

Advanced technology
for the best results

Never any compromise

At the London Aortic Clinic we combine highly specialised skills with the very latest technology to achieve the best for results for you. With us there is never any compromise in accuracy, safety or durability when it comes to our minimally-invasive endovascular surgery.

The latest technology is vital

That’s why we use advanced imaging techniques to understand your needs, and to plan your treatment precisely.

A guide to our procedures

Imaging: 3D Reconstruction

Just as we all look different on the outside, how we look on the inside differs too. We use state-of-the-art medical software to reconstruct and analyse three-dimensional images of your aorta and its branches using standard CT scan data. We believe this in-depth analysis of your personal 3D anatomy helps us spot and avoid potential problems, and improves the outcome of your treatment.

Procedure Planning

Based on our experience of over 500 complex endovascular aneurysm repairs, we know meticulous planning before we operate is key to achieving excellent outcomes. Our specialised, medically-proven software and longstanding relationships with trusted medical device manufacturers helps give us the best understanding of precisely what you need.

Hybrid Operating Room

We’ve designed a new hybrid operating room that offers the perfect facility for vascular and endovascular surgery. We did this by integrating a state-of-the-art X-ray imaging system into our fully-equipped operating theatre. So we can now select whatever approach, or combination of approaches, best suits your treatment needs.

Endovascular Surgery

Since the mid-1990s, traditional open surgical repairs for aortic and iliac disease has shifted to minimally-invasive (keyhole) operations. We use the term ‘endovascular’ because we use a keyhole incision, typically the femoral artery in the groin, and go inside (endo) the body’s network of blood vessels (vascular) to access the site for surgery and fit the stent-graft using specialist equipment and X-ray guidance.

Aneurysms

To prevent a rupture in the future, we use a stent-graft made of the same material used in open surgery (Dacron or Goretex) to seal above and below the aneurysm. This is called the sealing zone. As any compromise in the fixation of the stent-graft in the sealing zone has proven to have poor long-term results, we always use the proven and highly durable method of optimising the length and quality of the sealing zone. It’s just one more thing designed to give you total peace of mind when you book treatment with us at the London Aortic Clinic.

Endovascular Graft Technology

Your surgeons have access to the latest approved stent-graft technology and have been pioneers in establishing and proving these devices in clinical practice. As well as standard endovascular stent-graft technology for abdominal aortic aneurysms and thoracic aortic aneurysms, we use fenestrated and branched graft technology.

The best-performing centres use endovascular surgery

We’ve advocated the endovascular approach for many years, so we weren’t surprised when the UK national results of aneurysm surgery in 2013 showed endovascular surgery has a better survival rate than open surgery.

Around 20-30% of abdominal aortic aneurysms lie close to the renal arteries. As these ‘juxtarenal’ aortic aneurysms are technically more challenging, we believe the advantages of the endovascular approach are even clearer in these cases.

Fenestrated endovascular
aneurysm repair

In line with our principle of never compromising fixation and sealing in endovascular abdominal aortic aneurysm repair, we extend the sealing zone sufficiently far above the top of the aneurysm to achieve a secure and durable result. This may require a graft with holes (fenestrations) to preserve the blood flow to the kidneys and small covered stents to maintain the alignment and prevent leakage of blood into the aneurysm (endoleak).

We’ve carried out over 500 fenestrated endovascular aneurysm repairs and have helped train surgeons and radiologists in many of the UK centres performing this technique. The outcomes of the UK NHS centres with experience of this operation were published in 2012 and showed a significant increase in survival rates compared to open surgery. You can find out more here.

Thoracoabdominal Aortic Aneurysms

Thoracoabdominal aortic aneurysms are a rare condition, with particular challenges that require expert care. Our surgeons are the UK’s leading experts in complex endovascular aneurysm repair, using both fenestrated and branched graft technology, and have one of the largest European experiences of thoracoabdominal aortic repair. There are lots of possible configurations of thoracoabdominal aortic aneurysms and any option we decide must be tailored to suit your particular anatomy. This may involve endovascular surgery, open surgery, or a combination of the two. We’ll talk you through the safest approach.

Abdominal Aortic Aneurysms

When suitable, we prefer to treat an abdominal aortic aneurysm using endovascular aneurysm repair. It’s less painful for you, and offers quicker recovery and return to normal activities. Sometimes however a person’s anatomy makes open surgery the safest option. Don’t worry. We’ll explain the options and advise you of our preferred method when we speak.

Thoracic Aortic Aneurysms

Aneurysms in the thoracic aorta can often be repaired using specialised endovascular grafts. We use the same principles of fixation and seal when we plan and complete these procedures. We also give special consideration and expertise to managing the small risk of paraplegia (weakness or paralysis of the legs) after these operations.