Cerebral aneurysm cost-effectiveness of therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ;Associate Editor(s)-in-Chief: Anika Zahoor M.D.[2]

1. Non-surgical

1. Surgical

It is estimated, the cost of coiling or clipping are higher than average Medicare payment. According to evidence based research studies indicate that

Preventive treatment of aneurysms led to higher utility compared with conservative management.

Models with a higher proportion of endovascular treatment and younger patient age were most cost-effective. [1]

1. Dandurand C, Zhou L, Prakash S, Redekop G, Gooderham P, Haw CS. Cost-effectiveness analysis in patients with an unruptured cerebral aneurysm treated with observation or surgery. Journal of Neurosurgery. 2021 May 7;1(aop):1-9.

2. Brinjikji W, Kallmes DF, Lanzino G, Cloft HJ. Hospitalization costs for endovascular and surgical treatment of unruptured cerebral aneurysms in the United States are substantially higher than medicare payments. American journal of neuroradiology. 2012 Jan 1;33(1):49-51