Navigation Links
Minimally invasive stroke treatment produces better patient outcomes than surgical operation
Date:5/29/2009

MINNEAPOLIS/ST. PAUL (May 28, 2009) While minimally invasive coil treatments for those with a ruptured brain aneurysm have proved to be a more effective technique than traditional surgical operation in selected patients, the superior procedure is drastically more expensive, according to new research from the Zeenat Qureshi Stroke Research Center at University of Minnesota Medical School.

Using outcomes from more than 2,000 patients half of whom underwent minimally invasive endovascular coiling for brain aneurysms and economic data gathered from a variety of hospitals throughout the United States, it is clear the minimally invasive procedure has better patient outcomes including qualify of life than the neurosurgical counterpart.

Minimally invasive treatments on average cost about $72,000 more than surgical treatments for each quality-adjusted life years gained (including costs stemming from disability, hospitalization, retreatment, and rebleeding) partly because multiple follow-up treatments are necessary within the first year of endovascular treatments, as opposed to one major surgical operation.

Coiling is a technique that involves placing a small catheter into the aneurysm and filling it with platinum coils. The catheter is introduced through a blood vessel in the groin and advanced under X-ray all the way into the brain blood vessels.

With accrual of additional years with better outcome status, the cost-effectiveness of endovascular coiling would most likely progressively improve and eventually reverse direction, said Alberto Maud, M.D., principal investigator of the study.

"The minimally invasive treatment is better tolerated in selected critically ill patients with ruptured brain aneurysms. The procedure is effective in preventing a second rupture but currently limited in terms of cost due to the need for additional follow-up procedures to treat new aneurysm growth," Maud said. "However, a new generation of devices promises to provide more permanent obliterations for aneurysms. It should be noted that despite additional treatments, patients treated with endovascular treatment continued have lower rates of death and disability than those treated with open surgery."

The research is published in the May issue of the Journal of Neurosurgery.

Other benefits of minimally invasive surgery include less time in hospital and lower chance of disability, said Adnan I. Qureshi, M.D., senior investigator of the study, who is also the director of the Minnesota Stroke Initiative. Currently about 30 to 40 percent of all patients with aneurysms are treated with minimally invasive procedures, he said.

Intracranial aneurysms impact about 2 percent of the general population worldwide and are present in 10 million people in the United States. Until recently, the predominant treatment was open operation. However, endovascular treatments have increased as the technique has improved.


'/>"/>

Contact: Nick Hanson
hans2853@umn.edu
612-624-2449
University of Minnesota
Source:Eurekalert

Related medicine news :

1. New minimally invasive surgery option for patients with stomach cancer
2. American Heart Association Statement Gives Guidance on Minimally Invasive Procedures to Treat Diseased Brain Vessels
3. US Market for Minimally Invasive Treatment of Varicose Veins to Rise to More than $215 Million by 2013
4. Revolutionary, Minimally Invasive Treatment Provides Long-lasting Chronic Sinusitis Relief
5. Is Smaller Better? Minimally Invasive Oncologic Surgery Options Discussed at NCCN Conference
6. Gallbladder removal through vagina offers minimally invasive alternative
7. A World First in Minimally Invasive Robotic Surgery Promises a More Cost-Effective, Patiently Friendly Future
8. Leaders in Minimally Invasive Spinal Surgery Open New Facility in Scottsdale
9. New training method helps surgeons evaluate their own minimally invasive surgery skills
10. USHIFU Announces First Sonablate(R) HIFU Device in India for Minimally Invasive Prostate Cancer Treatment
11. Hi-Tech Advances the Practice of Minimally Invasive Gynecology at AAGL Global Congress
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/13/2016)... ... February 13, 2016 , ... When an Au Pair comes all the ... what they are in for and they are often worried things won’t go well. More ... hoping for. This year’s Au Pair of the Year winner’s all commented how their Au ...
(Date:2/12/2016)... ... 12, 2016 , ... The law firm of Morrow, Morrow, Ryan & Bassett ... of these scholarships is to encourage applicants to pursue a degree in their field ... two parishes. , “We have available jobs in St. Landry and Evangeline Parishes ...
(Date:2/12/2016)... ... February 12, 2016 , ... Each year, the American Physical Therapy ... Anaheim, CA at the Anaheim Convention Center. Almost 10,000 physical therapists across the country ... in action, learn more about their chosen field and network with their colleagues. ...
(Date:2/12/2016)... ... February 12, 2016 , ... Itopia, a ... the integration of Clarity Intelligence Platform (CIP) into Cielo®, a discovery, migration and ... intelligence (BI) to their small and medium business (SMB) clients. , ...
(Date:2/12/2016)... ... ... Vail knee specialist Robert LaPrade, MD, PhD was named one ... consists of physicians establishing, leading and partnering with ambulatory surgery centers across the United ... Center, also known as an ASC, is a modern health care facility focused on ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... ALEXANDRIA, Va. , Feb. 12, 2016  This ... & Specialty Pharmacy (JMCP) takes an in-depth look ... the recent spike in prescription drug spending, which has ... JMCP Editor-in-Chief Laura E. Happe ... Laura E. Happe , PharmD, MPH. --> ...
(Date:2/12/2016)... , February 12, 2016 ... anders vermerkt)   http://www.sedar.com ) ... http://www.telestatherapeutics.com abrufbar.    --> ... Unternehmens http://www.telestatherapeutics.com abrufbar.    ... PNK:BNHLF) veröffentlichte heute seinen Konzernabschluss des zweiten ...
(Date:2/12/2016)... 2016  Sequent Medical, Inc. announced today that it ... the safety and effectiveness of the WEB™ Aneurysm Embolization ... aneurysms.  Prof Laurent Spelle , MD, Head of ... France and Principal Investigator of the CLARYS ... and Germany.  Although patients with ruptured aneurysms ...
Breaking Medicine Technology: