Reparación Endovascular para Aneurisma de Aorta: Revisión Panorámica sobre su evidencia en el mundo y su aplicación en Latinoamérica

CALDERÓN, MARÍA; BRITO, VIVIANA; ALCARAZ, ANDREA; REY-ARES, LUCILA; AUGUSTOVSKI, FEDERICO; GARCÍA-MARTÍ, SEBASTIÁN; BARDACH, ARIEL; CIAPPONI, AGUSTÍN; LÓPEZ, ANALÍA; PICHÓN-RIVIERE, ANDRÉS

Value in Health Regional Issues

Elsevier

Año: 2018 vol. 17 p. 94 - 101

2212-1099

For abdominal AA, high quality evidence showed no differences inlong-term survival with the use of EVAR compared to conventional surgery, but lower early mortality was observed (OR = 0.33, 95% CI 0.20 -0.55). EVAR was associated with a greater need for re-intervention. In the case of other types of AA, further evidence is still required to establish the benefit of EVAR. The CPGs, consensus, HTAs and coverage policies identified, mostly consider open surgery as the treatment of choice, reserving the EVAR for patients with high surgical risk for conventional surgery in the presence of favorable anatomy.