Endovascular surgery for abdominal aortic aneurysm

Abdominal aortic aneurysm can be treated using a vascular prosthesis which is placed in the aorta via another vessel (endovascular procedure). The procedure is considered to be a milder intervention for patients compared to conventional open surgery. There is moderate* scientific knowledge concerning several of the methods used in this treatment approach. Knowledge about the benefits and risks to patients is limited to open studies and short follow-up times. There is poor* scientific knowledge about the long-term effects and the cost-effectiveness of the method. Endovascular surgery should be used only in controlled studies and should be compared with the conventional method to assure the highest level of safety and acquire relevant scientific knowledge. Future studies should also include costs and the quality of life in patients. Data should also be registered in the European Quality Registry (Eurostar).