Canadian Society for Vascular Surgery consensus statement on endovascular aneurysm repair

Abstract

EVAR is a minimally invasive approach to AAA repair that lowers operative complication rates and mortality when compared with open surgery. At present, EVAR requires lifelong follow-up because of potential late graft failure; however, with appropriate follow-up the risk of graft failure leading to aneurysm rupture is very low. Internationally, EVAR has become a standard of care for AAA patients with suitable vessel anatomy. Although the device costs exceed those of open repair, at US$22 862 per procedure the cost-effectiveness of EVAR compares favourably with other life-saving technologies such as coronary artery bypass grafting for left main coronary artery disease ($9500) and dialysis ($54 400 per year). 8 EVAR is continuing to evolve with experience and technologic advances. Devices are being developed and used to improve outcomes for patients with ruptured AAAs and for thoracic, thoracoabdominal and perirenal aneurysms. © 2005 CMA Media Inc. or its licensors.