Endovascular repair of descending thoracic aortic aneurysm: an evidence-based analysis

Record ID 32006000666
English
Authors' objectives:

The Ontario Health Technology Advisory Committee asked the Medical Advisory Secretariat to conduct a health technology assessment on endovascular repair of descending thoracic aortic aneurysm (TAA). The objectives were:

To compare the effectiveness and cost-effectiveness of endovascular stentgraft (ESG) placement in the treatment of TAAs with a conventional surgical approach and

To summarize the safety profile and effectiveness of ESG placement in the treatment of descending TAAs.

Authors' recommendations: Endovascular stent graft placement is a less invasive procedure for repair of TAA than is open surgical repair. There is no high-quality evidence with long-term follow-up data to support the use of Endovascular aortic aneurysm repair as the first choice of treatment for patients with TAA that are suitable candidates for surgical intervention. However, short- and medium-term outcomes of ESG placement reported by several studies are satisfactory and comparable to surgical intervention; therefore, for patients at high risk of surgery, it is a practical option to consider. Short- and medium-term results show that the benefit of ESG placement over the surgical approach is a lower 30-day mortality and paraplegia rate; and shorter operative time, ICU stay, and hospital stay.
Authors' methods: Systematic review
Details
Project Status: Completed
Year Published: 2005
URL for published report: http://www.health.gov.on.ca/english/providers/program/mas/tech/reviews/pdf/rev_thor_110105.pdf
URL for additional information: http://www.hqontario.ca/en/mas/mas_ohtas_tech_thor_110105.html
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Blood Vessel Prosthesis Implantation
  • Costs and Cost Analysis
  • Stents
  • Aortic Aneurysm, Thoracic
Contact
Organisation Name: Medical Advisory Secretariat
Contact Address: Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;
Contact Name: MASinfo.moh@ontario.ca
Contact Email: MASinfo.moh@ontario.ca
Copyright: Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care
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.