Chandigarh: A 73-year-old female patient has undergone successful physician-modified fenestrated EVAR for complex aortic aneurysm at  Ojas Hospital, Panchkula recently.

Talking to media here on Monday, Dr. Ankur Aggarwal senior consultant vascular surgery said that the patient was suffering from a life-threatening aortic aneurysm.
This complex, minimally invasive procedure marks a major advancement in vascular care and is in fact among only five such cases ever performed in the tricity region, he informed.
Dr. Ankur further informed that the patient had a 6-cm wide aortic aneurysm, a dangerous condition involving the ballooning of the main artery that carries blood from the heart to the rest of the body.
Left untreated, such aneurysms carry a risk of rupture, with a mortality rate of 80–90%, he pointed out.
Open surgery-previously the only treatment option— \is extremely risky for elderly patients, often requiring 7–8 hours of surgery and involving bypasses to both kidneys and intestinal arteries, said Dr Ankur.
To avoid these complications, we opted for a cutting-edge technique known as physician-modified fenestrated EVAR, he informed.
“This advanced procedure allows us to custom-modify the stent on the operating table by creating tiny fenestrations (holes) to preserve blood flow to vital arteries branching from the diseased aorta,” explained Dr. Aggarwal.
“Once the stent is placed inside the body, four additional stents are inserted through these fenestrations to maintain continuous blood supply to the kidneys and intestines.”
The entire surgery was completed via a small 3 cm incision in the right groin , a stark contrast to the large incisions required in traditional surgery and the patient was discharged in stable condition just two days later.