Design of The PReferences for Open Versus Endovascular Repair of Abdominal Aortic Aneurysm (PROVE-AAA) Trial

With the introduction of EVAR more than twenty years ago, patients with AAA were presented with a new option for a treatment wherein they left the hospital in days rather than weeks, and recovered back to their usual activities in weeks rather than months. However, with these new opportunities came new challenges, such as the concept of an intraluminally repaired aortic aneurysm as a “chronic disease” which requires surveillance, and potentially have complications from endoleaks, limb thrombosis, or delayed rupture requiring further testing and costly interventions. With these choices emerges an opportunity to engage patients and their preferences into the decision-making pr ocess. We anticipate that the PROVE-AAA trial will help us to better understand patient preferences related to the treatment of their AAA, whether decision making tools in AAA repair help to inform and educate the patient for the most suitable and preferred treatment options, as well as improve our ability to align their treatments with their preferences.

Source: Annals of Vascular Surgery - May 6, 2019 Category: Surgery Authors: Jesse A. Columbo, Ravinder Kang, Emily L. Spangler, Karina Newhall, Benjamin S. Brooke, Hasan Dosluoglu, Eugene S. Lee, Joseph D. Raffetto, Peter K. Henke, Gale S. Tang, Leila Mureebe, Panagoitis Kougias, Jason Johanning, Shipra Arya, Salvatore T. Scali, Tags: General Review Source Type: research