[Endovascular repair of thoracic and thoraco-abdominal aortic aneurysm]

Calderón M, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López A, Rey-Ares L
Record ID 32015000886
Authors' objectives: To assess the available evidence on the efficacy, safety and coverage related aspects regarding the use of endovascular repair in thoracic and thoraco-abdominal aortic aneurysms.
Authors' recommendations: The evidence found about the use of endovascular thoracic and thoracoabdominal aortic aneurysm repair is scarce and of poor methodological quality. There are no randomized clinical trials assessing endovascular repair vs. open surgery. Based on observational studies, endovascular repair might have a benefit in short-term mortality and shorter hospitalization periods. In most cases, the Clinical Practice Guidelines, Health Technology Assessment reports and coverage policies consider open surgery is the treatment of choice and that endovascular repair is an alternative only for specific patients at high surgical risk (due to severe comorbidities) and with favorable anatomic characteristics for the use of endoprosthesis.
Project Status: Completed
Year Published: 2015
URL for published report: www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Endovascular Procedures
  • Aortic Aneurysm, Abdominal
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.