Abdominal aortic aneurysm: endovascular grafts offer a potential alternative to surgery

Canadian Coordinating Office for Health Technology Assessment
Record ID 31998008431
English, French
Authors' objectives:

To summarise the effectiveness and cost-effectiveness of endovascular grafts as a potential alternative to surgery for abdominal aortic aneurysm

Authors' results and conclusions: Endovascular grafts are a new, experimental surgery for AAAs that alleviates the need for open abdominal surgery. They offer an important alternative for high risk patients who would be at a greater risk with the more invasive surgical procedure. However, this is based on limited evidence, and more randomized controlled trials are needed. As with many new or minimally invasive techniques, there is a "learning curve" which will affect costs and outcomes. Endovascular grafting is no exception, and repeated practical applications are needed for competence, expertise and good outcomes.
Authors' recommendations: Continued monitoring of this technique is needed. A registry of elective AAA patients now has 10-year follow-up data on about a third of the Canadian patients operated on in 1988. Further development of such registries will provide more accurate information on success rates, costs, and long-term complications.
Authors' methods: Summary
Details
Project Status: Completed
URL for project: https://www.ccohta.ca/
Year Published: 1998
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Stents
  • Aortic Aneurysm, Abdominal
  • Vascular Surgical Procedures
Contact
Organisation Name: Canadian Coordinating Office for Health Technology Assessment
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name: requests@cadth.ca
Contact Email: requests@cadth.ca
Copyright: Canadian Coordinating Office for Health Technology Assessment, 1998
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.