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I am Kamal Gupta I am an associate professor at the division of cardiovascular diseases department of internal medicine at the University of Kansas in Kansas City Kansas I just want to say that the recent CMS decision about adjusting the reimbursement for the fenestrated endovascular graft is a real victory for patients because when hospitals are properly reimbursed for a procedure this allows for new technologies and patient access to them to thrive as you may know when a trade graphs have been in limited clinical use mostly under the purview of clinical studies for about a decade or more however they serve an important role in treating patients with para renal and track abdominal aneurysm especially those with docHub comorbidities who would not be good candidates for the conventional open repair new fenestrated grafts are being developed and even off-the-shelf devices may be available in the near future thus the procedure is poised for growth outside the limited current use for
