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Category Archives: Endovascular aneurysm repair EVAR

Silent killer on the rise > Adults need to know > Older adults may be at risk > Abdominal aortic aneurysms AAA > Ultrasound scan of the aorta can reveal AAA > Risk factors include being a male > Over the age of 60 > Having high blood pressure > History of smoking

Are aneurysms increasing in incidence and becoming more common? Is the danger of not knowing you have an aneurysm that as the vessel weakens and continues to enlarge, it can burst or rupture and cause internal bleeding? Will we be seeing more of them, now that Medicare has approved funding for screening of these aneurysms?

IIP […]

Stent-graft > EVAR > New findings on abdominal aortic aneurysm AAA > Mortality > Endovascular technology > Hospital volume > Proportion of AAA repaired with EVAR > Increased from 27% to 39%

Did the introduction of endovascular (EVAR) technology change the relationship of hospital volume to mortality with abdominal aortic aneurysm repair?Are higher-volume hospitals are more likely to use the endovascular approach? Is the greater use of the endovascular procedure at high-volume hospitals accounting for the difference in mortality between high-and low-volume hospitals?

IIP > read on here […]

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?

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Aortic Stent Grafts > Growing physician preference for minimally invasive procedures > Boost Canadian and Japanese Peripheral Vascular Markets > Grow at CAGRs of nearly 60% and 20%

Is stent-graft design in an evolutionary dead-end or can device innovation improve the success rates of aortic stent grafts? Can improved devices actually expand the treatable patient population? Will growing patient awareness of and demand for minimally invasive aortic procedures will drive the adoption of aortic stent grafts?

IIP > read on here > http://www.earthtimes.org…
…According […]

Hand-assisted laparoscopic surgery HALS > Laparoscopy-assisted > Abdominal aortic aneurysm AAA repair > Early and middle-term results > Consecutive series of 122 cases > University of Pisa > Hybrid Procedure for Endoaneurysmorrhaphy > Intraluminal vascular graft placement

Is the hybrid procedure of laparoscopic-assisted abdominal aortic aneurysms repair the latest MIS treatment for elective surgical replacement with synthetic graft? Are the laparoscopic-assisted techniques well refined and ready for widespread adaptation? Is the technique applicable to a broader AAA patient base as compared to the limited application of stent-grafting?

IIP > read on here > […]

Medical Corporations Crossing the Line > Journal’s Article Questions TV Ads for Cypher stent > New England Journal of Medicine > Cordis subsidiary of Johnson & Johnson > Direct-to-consumer advertising DTCA > Percutaneous transluminal coronary angioplasty PTCA > Consumer Health Education > State University of New York > Cedars-Sinai Medical Center

What are the basic regulatory requirements for non-deceptive advertising of medical corporations? Why is there no requirement to report negative side effects to a toll-free number operated by the FDA that is currently required for print prescription drug ads but not for medical devices? Is the device industry campaign trying to perceive an informed, balanced […]

Medtronic’s Securant > Lombard Medical > U.S. clinical trial for its EndoRefix endostapling device > New Stent Graft Fixation Device > Stent Stapler Closer to Launch

What are the limited European launch results that followed on the conclusion of a 10-patient clinical study? Is the clinical utility of EndoRefix to serve as an adjunctive procedure to endovascular abdominal aortic aneurysms stent-graft repair? Will Medtronic improve the proximal fixation of the Aneurx stent-graft with the technology?

IIP > read on here > http://www.hemscott.com…
…Lombard […]

Abdominal Aortic Aneurysm Research > Leicester Royal Infirmary > University of Leicester > Received over £900,000 funding from the Wellcome Trust > Part of a £30M international initiative

Is an aneurysm that is readily detectable by a simple ultrasound scan during the long latent period when the aneurysm is growing an excellent opportunity to prevent the need for surgery? Will pharmacological treatment prevent progression to rupture? When will the first pharmacotherapeutic agent be identified to treat aneurysms?
IIP > read on here > http://www.inloughborough.com…
…The […]