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Endovascular Treatment for Aortic Diseases: Intercontinental Disparities
Gautam Naik1, Ishaq Wadiwala2, Niranjan Hiremath3
1Department of Cardiology, Indraprastha Apollo Hospital, Sarita Vihar, Delhi Mathura Road, New Delhi, 110076, DL, India. dr.gautamnaik@gmail.com.
Insights
Endovascular aortic repair offers significant benefits but faces global disparities in access. Improving healthcare equity is crucial for consistent patient outcomes worldwide.
Area of Science:
- Vascular Surgery
- Cardiovascular Interventions
- Health Equity
Background:
- Endovascular techniques have revolutionized aortic disease management.
- Minimally invasive aortic repair offers advantages over open surgery.
Purpose of the Study:
- To analyze intercontinental disparities in endovascular aortic repair.
- To examine device availability, cost, and accessibility across continents.
- To highlight the need for improved global healthcare equity in aortic disease treatment.
Main Methods:
- Review of current literature on endovascular aortic repair globally.
- Comparative analysis of treatment adoption across North America, Europe, Africa, and Asia.
- Focus on factors influencing access and patient outcomes.
Main Results:
- Significant variations exist in endovascular aortic repair adoption worldwide.
- Healthcare infrastructure, economic factors, and regulatory environments impact treatment accessibility.
- Patient outcomes are influenced by geographic location and socioeconomic status.
Conclusions:
- Global disparities in endovascular aortic treatment require urgent attention.
- Enhancing aortic care necessitates addressing challenges in device availability and cost.
- Achieving equitable access to advanced aortic disease treatment is paramount.
Purpose Of Review:
This review explores the intercontinental disparities in endovascular treatment for aortic diseases, focusing on North America, Europe, Africa and Asia with special focus Southeast Asia(India). It highlights device availability, cost, accessibility, patient outcomes, and the necessity for improved healthcare equity.
Recent Findings:
The management of aortic diseases such as aneurysms and dissections has improved with endovascular techniques like thoracic endovascular aortic repair and fenestrated-branched repair. These minimally invasive procedures offer benefits over traditional surgery, including lower morbidity and mortality rates, reduced hospital stays, faster recovery times, and generally higher patient satisfaction. However, their adoption varies across continents due to differences in healthcare infrastructure, economic resources, regulatory environments, and physician expertise. By examining the current landscape of endovascular aortic treatment globally, we can better understand the challenges and opportunities for enhancing aortic care and ensuring equitable access for all patients, regardless of their geographic location and socioeconomic status.
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