Andersson M, Talvitie M, Benson L, et al. - Researchers conducted a population-based retrospective cohort study with the aim to document the national incidence rate, risk factors and outcome of post-endovascular aortic repair (EVAR) ruptures. In addition, they investigated the national incidence rate of ruptures following open surgical repair (OSR). Utilizing the in- and outpatient entries from 2001 to 2015, they identified a total of 14,859 patients who survived their primary (index) AAA procedure. Among these, 6,470 EVAR procedures were performed, 5,893 for intact AAA (iAAA) and 577 for rAAA. Findings suggest post-EVAR rupture as a rare complication; its occurrence can be observed at any time after the index EVAR procedure. Following are identified as risk factors for post-EVAR rupture: rAAA as indication for the index surgery and age. Post-EVAR rupture mortality was reported to be high, however, it was lower than that of primary rAAA. Although, the risk of post-OSR rupture was much lower, it must not be neglected it as a possible late complication.