[Abdominal aortic aneurysm repair treated with endoprosthesis: technical and economic evaluation by ANAES(National Agency of Health Accreditation and Evaluation)].
OBJECTIVE
To evaluate the safety, efficacy and cost of stent-grafts for the endovascular repair of abdominal aortic aneurysms (AAA).


METHODS
The ANAES report was based on a critical analysis of the published international literature and on consultation of technology assessment agencies. The report was reviewed by a group of experts and validated by the ANAES Scientific Council (Evaluation Section).


RESULTS
The literature analysis indicated that the technique was feasible. However, it also revealed a shortage of methodologically sound clinical trials. The long-term outcome of the stent-grafts and the accompanying complications are not yet known.


CONCLUSIONS
Further clinical studies are needed for a truly objective assessment. The ANAES working group has issued a series of recommendations designed to help physicians define the optimal conditions for the effective and safe use of these stent-grafts.
Long
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A
Service de Radiologie Vasculaire, Hôpital Européen Georges Pompidou, 20-40, rue Leblanc, 75015 Paris.
Perez-Niddam
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K
Maisonneuve
H
H
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D005602:France; D006801:Humans; D011785:Quality Assurance, Health Care; D015203:Reproducibility of Results; D015607:Stents / Q000592:standards*