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Endovascular treatment of cerebral aneurysms--a cost analysis
David Le Feuvre1, Allan Taylor
1Division of Neurosurgery, Department of Surgery, Groote Schuur Hospital and University of Cape Town.
Objectives:
To determine if endovascular treatment of cerebral aneurysms is cost effective when compared with conventional surgical treatment.
Design:
A retrospective study.
Subjects:
Seventeen patients treated between August 2002 and August 2003 had posterior communicating artery aneurysms. This group was selected for detailed analysis.
Outcome Measures:
Total treatment costs, in South African rands (R), were calculated for each patient. Average treatment costs for each group were then compared.
Results:
Surgically clipped and endovascularly coiled groups were comparable for age, sex and clinical condition. The average cost for endovascular treatment per patient was R37 041. Surgical treatment was more expensive at R44 104, a difference of 16%.
Conclusions:
Despite the high cost of endovascular devices, appropriate use of this technology ultimately offers less expensive treatment than microsurgical clipping of aneurysms.
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