Document Detail


Endovascular abdominal aortic aneurysm repair (EVAR) procedures: counterbalancing the benefits with the costs.
MedLine Citation:
PMID:  20181613     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endovascular abdominal aortic aneurysm (AAA) repair (EVAR) is associated with lower 30-day mortality rates compared with open repair. Despite that, there are no significant differences in mortality rates between the two procedures at 2 years. On the other hand, EVAR is associated with considerably higher costs compared with open repair. The lack of significant long-term differences between the two procedures together with the substantially higher cost of EVAR may question the appropriateness of EVAR as an alternative to open surgical repair in patients fit for surgery. With several thousands of AAA procedures performed worldwide, the employment of EVAR for the management of all AAAs irrespective of the patient's surgical risk may hold implications for several national health economies. The lower perioperative mortality and morbidity rates associated with EVAR should thus be counterbalanced against the considerable costs of these procedures.
Authors:
Kosmas I Paraskevas; Nikolaos Bessias; Athanasios D Giannoukas; Dimitri P Mikhailidis
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Publication Detail:
Type:  Comment; Letter     Date:  2010-02-24
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-20     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  319-20     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / economics*,  mortality,  surgery*
Blood Vessel Prosthesis Implantation / adverse effects,  economics*,  mortality
Cost-Benefit Analysis
Health Care Costs
Humans
Patient Selection
Risk Assessment
Time Factors
Treatment Outcome
Comments/Corrections
Comment On:
Vasc Endovascular Surg. 2010 Feb;44(2):105-9   [PMID:  20034936 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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