Aortic endograft (EVAR / TEVAR) in Turkey: Indications, procedure, and cost

EVAR and TEVAR: Understanding the difference

When the aortic wall weakens and dilates (aneurysm),it becomes a silent time bomb. This insidious development makes urgent treatment necessary, especially for patients who are too frail for conventional open surgery.

In response to this type of situation, vascular medicine has developed targeted endovascular solutions that can treat the condition from the inside, with reduced impact on the body.

EVAR and TEVAR: What exactly are they?

EVAR (Endovascular Aneurysm Repair) and TEVAR (Thoracic Endovascular Aortic Repair) are aortic endograft techniques. They involve introducing a medical device inside the aorta through an endovascular approach, most commonly via peripheral arteries.

The endograft acts as an internal support: it creates a new channel for blood flow and isolates the weakened segment of the aortic wall, significantly reducing the risk of rupture without opening the abdomen or the chest.

Which technique is used depending on the affected area?

The choice of technique depends primarily on the location of the aortic disease, as well as the anatomy of the aorta, the extent of the lesion, and the patient's overall health condition:

• EVAR: used to treat aneurysms of the abdominal aorta.
• TEVAR: indicated for diseases affecting the thoracic aorta.

As part of care with Turquie Santé, this preoperative assessment is carried out by specialized teams combining vascular surgeons and imaging experts, in order to define the most appropriate and safest strategy for each case.

In which cases Is an aortic endograft indicated?

An aortic endograft is an implantable medical device designed to redirect blood flow inside the graft and protect a weakened aortic wall. This minimally invasive approach makes it possible to treat certain conditions more safely and with better tolerance, especially when open surgery carries a high risk.

Conditions treated with an aortic endograft

The most common indications for EVAR and TEVAR include:

The ideal patient profile for this approach

An aortic endograft becomes the preferred option when:

• Age and comorbidities contraindicate open surgery (cardiac, pulmonary, renal conditions).
• The anatomy is favorable (healthy landing zones, adequate vascular diameter).
• The pathology is localized and accessible via an endovascular approach.
• Rapid intervention is required to prevent rupture.

Fast evaluation with Turquie Santé

Are you wondering whether an aortic endograft (EVAR / TEVAR) could be suitable for your condition or that of a loved one?

With Turquie Santé, you can benefit from a free preliminary evaluation within 48 hours by an expert vascular surgeon and receive a personalized, secure treatment plan tailored to your clinical profile.

Why choose an endovascular approach today?

EVAR and TEVAR techniques are not simply alternatives to open surgery; they represent a paradigm shift in the management of aortic pathologies. While conventional surgery requires a long and difficult recovery, endovascular surgery offers a transformed pathway that preserves the patient's quality of life.

Key advantages of EVAR / TEVAR: 

1. Minimally invasive procedure

• No thoracic or abdominal incision: small groin punctures (2–3 cm)
• No muscle cutting: preservation of strength and mobility
• Minimal scarring with improved cosmetic recovery

2. Faster recovery

• Short hospital stay: 2 to 4 days (vs. 7 to 14 days with open surgery)
• Moderate postoperative pain that is quickly controlled
• Return to daily activities within a few weeks

3. Safety and comfort

• Reduced risk of infection (no open body cavity)
• Fewer respiratory and cardiovascular complications
• Possibility of regional anesthesia for fragile or high-risk patients

This alternative to open aortic surgery is now considered a modern and safe treatment option when anatomical criteria are met.

The EVAR / TEVAR patient journey with Turquie Santé

Unlike standard care pathways, Turquie Santé has developed an integrated medical program specifically designed for international patients.

Remote consultation and initial assessment

Upon receiving your medical file, our multidisciplinary team of vascular surgeons, interventional radiologists, and anesthesiologists reviews your case during a joint medical conference. Using advanced 3D reconstruction software, your aortic anatomy is modeled with precision, allowing us to confirm the feasibility of EVAR or TEVAR, select the most appropriate stent-graft, and anticipate every procedural step.

You then benefit from a personalized teleconsultation with the surgeon, who explains the treatment plan in detail and answers all your questions. Your English-speaking care coordinator also manages all logistical aspects of flights, transfers, and accommodation so you can arrive in Turkey with complete peace of mind.

On-site admission and planning

The first day is dedicated to a comprehensive and accelerated medical assessment: laboratory tests, cardiology consultation, and Doppler ultrasound. The following day, a state-of-the-art CT angiography confirms and refines the preoperative plan.

The pre-anesthesia consultation and final briefing with the surgical team allow a step-by-step review of the planned procedure. This redundancy of checks is the cornerstone of our safety standards and our exceptional success rates.

Endovascular procedure

The intervention is usually performed under general or regional anesthesia, depending on the patient's profile:

1. Minimally invasive access: small 5–7 mm groin punctures, with no major incision
2. Guided navigation: high-definition fluoroscopy and intravascular ultrasound (IVUS) for precise positioning
3. Controlled stent-graft deployment: the pre-measured endoprosthesis creates a new, secure blood flow channel
4. Immediate quality control: verification of sealing and positioning using angiography and IVUS
5. Postoperative monitoring: transfer to the recovery room for close observation before returning to the hospital room

The duration of the procedure generally ranges from 1 to 3 hours, depending on the patient's anatomical complexity.

This redundancy of controls is the key to our safety and our exceptional success rates.

Postoperative follow-up and return to activity after aortic endograft

Thanks to the 100% endovascular approach, your post-EVAR/TEVAR hospital stay in Turkey is limited to just 2–4 days, compared with 5–10 days for open surgery. Our intensive monitoring protocol ensures your safety while promoting a faster and smoother recovery.

Immediate postoperative monitoring

Our postoperative care includes:

• 24/7 continuous monitoring of vital signs (blood pressure, heart rate, oxygen saturation) and kidney function
• Daily Doppler ultrasound assessment to confirm proper blood flow and stent-graft patency
• Proactive pain management using personalized multimodal protocols (PCA – Patient-Controlled Analgesia)
• Vascular access surveillance: careful monitoring of groin puncture sites to prevent hematomas or infections
• Prevention of thromboembolic complications through tailored anticoagulation and early mobilization

Turquie Santé's partner clinics are equipped with dedicated vascular monitoring units, maintaining a nurse-to-patient ratio of 1:3 (compared with 1:8–10 on average in Europe). This close monitoring explains our in-hospital complication rate of below 2%.

Return to activity after EVAR / TEVAR

85% of our patients are discharged within 48 to 72 hours, with independent walking resumed as early as the first postoperative day. The absence of large thoracic or abdominal incisions significantly reduces pain and allows for this accelerated recovery.

Long-term EVAR & TEVAR follow-up and ongoing care

Our commitment continues long after your return home. We provide a structured international follow-up over 5 years, included in your package, based on a unique and comprehensive protocol.

Our safety framework includes:

• Personalized imaging schedule (CT angiography at 1, 6, and 12 months, then annually),with double reading by our experts.
• Scheduled teleconsultations with your referring vascular surgeon.
• Secure patient portal giving you access to all your medical documents.
• “Stent-Graft Passport”: a dedicated document detailing the technical specifications of your implanted device.

Thanks to our high procedure volume, we can detect more than 95% of potential complications at an early stage, often managing them remotely without the need for additional intervention.

With Turquie Santé, you choose long-term safety, not just a single procedure.

Possible risks and prevention

The risks associated with EVAR / TEVAR, although uncommon, are rigorously anticipated and managed through our excellence-driven medical protocol.

Main risks and our proactive management:

• Endoleak: Preoperative detection using intravascular ultrasound (IVUS) combined with close postoperative monitoring through CT angiography with systematic double reading.
• Device migration: Customized stent-graft selection based on your 3D anatomy, along with active fixation using the latest-generation devices.
• Secondary intervention: A structured 5-year follow-up program, included in your care package, allows more than 95% of potential complications to be treated early and in a minimally invasive manner.

Thanks to this systematic approach to prevention and active surveillance, our rate of major complications within 30 days remains below 2%.

At Turquie Santé, transparency about risks always comes with a clear and effective action plan to manage them.

Would you like to learn more about our complete protocol and safety measures?
Benefit from a free teleconsultation with our aortic endoprosthesis experts.