The client is scheduled for an endovascular repair. The nurse is providing preoperative instructions for this procedure. The client asks where the incision will be located. The nurse replies:
1. There will be a small incision in the groin area because the procedure is done via the femoral artery.
2. There will be an incision in the abdomen because the surgeon will need access to the abdomen.
3. There will be an incision in the mid-chest because the surgeon will need to perform bypass surgery.
4. There will be no incisions because the repair is done via IV access.
There will be a small incision in the groin area because the procedure is done via the femoral artery.
Rationale: The endovascular repair is completed via the femoral artery, so a small incision in the groin may be necessary. Depending upon the location of the aneurysm, the surgeon may need access to different locations, which would require an open surgical repair. These surgeries are not considered endovascular. There is never a repair utilizing an IV access, since this is on the venous side, not the arterial.
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