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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Current practice of aneurysm management in the UK
1University College Hospital, London, UK. jane.cross@yahoo.co.uk.
Annals of the Royal College of Surgeons of England
|January 15, 2014
Summary
Endovascular repair is increasingly used for abdominal aortic aneurysms (AAA) in the UK. However, significant regional variations exist in fenestrated endovascular aneurysm repair (FEVAR) criteria and patient management.
Area of Science:
- Vascular Surgery
- Medical Device Technology
- Healthcare Policy
Background:
- Abdominal aortic aneurysm (AAA) management practices in the UK require current assessment.
- Fenestrated endovascular aneurysm repair (FEVAR) represents an evolving treatment modality.
Purpose of the Study:
- To document current AAA management strategies across the UK.
- To evaluate the adoption and criteria for FEVAR use.
- To define the role of FEVAR within the UK healthcare system.
Main Methods:
- An open-ended questionnaire was distributed to UK centers involved in FEVAR or infra-renal EVAR.
- Data collection focused on abdominal aortic aneurysm (AAA) management protocols.
Main Results:
- Over 90% of UK FEVAR centers responded, revealing significant regional disparities.
- Variations were particularly noted in the indications for complex aneurysm repair.
Conclusions:
- A clear trend towards endovascular repair for AAAs is evident in the UK.
- Persistent variations in institutional policies highlight regional differences in patient care.
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