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Category Archives: Connecting AAA graft to aortic neck

Endovascular abdominal aortic aneurysm repair > Under severe regulatory body scrutiny > Cost effectiveness as a function of cost and clinical benefit > National Institute of Clinical Excellence NICE > Unfit for open repair and not high risk > Endovascular Aneurysm Repair EVAR Trials > Dutch Randomized Endovascular Aneurysm Management DREAM > Open Versus Endovascular Repair OVER trial > Multi-center experience > Cook > Medtronic > Gore

Are there two populations of patients considered for EVAR, those fit for open repair and those unfit? Is there ever more evidence that the fitness of the patient is of crucial importance in the decision-making? Are trial results pointing toward EVAR being of poor or even no benefit in the very sick patients?

IIP > read […]

Open Aortic Stapler OAS > Mechanical vascular anastomotic device > For open surgery graft-aorta anastomosis > Connecting AAA graft to aortic neck > One-shot sutureless anastomosis > ES Vascular Ltd > Medical device start-up raised $3 million from private investors > Alternative to stent-grafting EVAR > May eliminate up to 90% of suturing time > Reduce cross clamping and overall operative times > Calcified aorta hampers development of vascular stapling technology

How does the Centers for Medicare and Medicaid Services in Baltimore PC evaluate the continued failure rates of stent-graft repair? Why do most practitioners feel that choosing between endovascular repair with endoleaks or EVAR graft migration and open surgical repair is a toss up considering the complexity of EVAR? Is it time for a combination […]