![]() ![]() It also helps show the extent of associated athereosclerotic vascular disease. ![]() This technique helps document the extent of the aneurysms, especially their upper and lower limits. These technologies, particularly contrast-enhanced computer tomography, provide higher resolution than ultrasound.Ībdominal aortography remains the gold standard to evaluate patients with aneurysms for surgery. Computed tomography and magnetic resonance have also been used for follow-up of aortic aneurysms. ( 1) An abdominal ultrasound provides more accurate detection, can delineate the traverse and longitudinal dimensions of the aneurysm, and is useful for serial documentation of aneurysm size. ( 1)Ībdominal radiography may show the calcified outline of the aneurysms however, about 25% of aneurysms are not calcified and cannot be visualized by plain x-ray. Further evaluation of this technology is required.Īn AAA is usually detected on routine examination as a palpable, pulsatile, and non-tender mass. The long-term effectiveness and cost-effectiveness of EVAR cannot be determined at this time. EVAR might benefit individuals who are not fit for surgical repair of abdominal aortic aneurysm and whose risk of rupture of the aneurysm outweighs the risk of death from EVAR. Current evidence does not support the use of EVAR in all patients. However, there is concern about a high incidence of endoleak, requiring secondary interventions, and in some cases, conversion to open surgical repair. It is associated with less severe hemodynamic changes, less blood transfusion and shorter stay in the intensive care and hospital. In the short-term, EVAR appears to be safe and comparable to open surgical repair in terms of survival. Most of the research evidence is based on non-randomized comparative studies and case series. The review included 44 eligible articles out of 489 citations identified through a systematic literature search. The Medical Advisory Secretariat conducted a review of the evidence on the effectiveness and cost-effectiveness of this technology. ![]() In this procedure, an aneurysm is excluded from blood circulation by an endograft (a device) delivered to the site of the aneurysm via a catheter inserted into an artery in the groin. Endovascular abdominal aortic aneurysm repair is a procedure for repairing abdominal aortic aneurysms from within the blood vessel without open surgery. An abdominal aortic aneurysm is the enlargement and weakening of the aorta (major blood artery) that may rupture and result in stroke and death. purchase)Ĭ) If the specific identification method had been used, what would the value of COGS been for the sale to UUU Co.? Assume all the units were purchased from BBB Co.ĬOGS = 30 * $20.00 (since all 30 units would have come from the BBB Co.The Medical Advisory Secretariat conducted a systematic review of the evidence on the effectiveness and cost-effectiveness of endovascular repair of abdominal aortic aneurysm in comparison to open surgical repair. + $1,400 from BBB Co.)Īmount: (30 * $11.00) = $330.00 (assuming weighted-average cost)ī) If the FIFO method had been used, what would the value of COGS been for the sale to UUU Co.?ĬOGS = 30 * $11.00 (since all 30 units would have come from the AAA Co.
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