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Category Archives: Stent-grafting

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 […]

Complex aneurysm > Treated using new fenestrated endograft stent > New York > Presbyterian Hospital > Columbia University Medical Center > Zenith Fenestrated AAA Endovascular > Graft by Cook Medical

Has stent-grafting with a traditional endograft been difficult or impossible for about ten per cent of abdominal aortic aneurysm patients? Is open surgery usually not an option since most of these patients are aged 70 and older, and often with medical complications? Does the fenestrated endograft procedure take more time and skill than repair of […]