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Epidemiology of endovascular and open repair for abdominal aortic aneurysms in the United States from 2004-2015 and implications for screening

Journal of Vascular Surgery Feb 18, 2021

Dansey KD, Varkevisser RRB, Swerdlow NJ, et al. - As there is uncertainty regarding the contemporary national trends in repair of ruptured abdominal aortic aneurysms and intact abdominal aortic aneurysms and screening covers only patient’s 65 to 75 years old with a family history or men with a smoking history, researchers here ascertained the proportion of patients who present with a ruptured aneurysm that would have been candidates for screening via performing a retrospective analysis of prospectively obtained data from a national administrative database. Evaluation of 65,125 admissions for ruptured AAA and 461,191 repairs for intact AAA revealed that there were 68% of patients presenting with ruptured AAA and 59% of patients undergoing repair for ruptured AAA who did not qualify for screening even after accounting for patients with previous diagnosis. For both ruptured AAA and intact AAA, the primary treatment is EVAR with a relatively low in-hospital mortality. Based on findings, they emphasize considering expansion of screening criteria to include selected women and a wider age range.

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