Bulder RMA, Talvitie M, Bastiaannet E, et al. - Researchers examined if and how changes in elective abdominal aortic aneurysm (AAA) management has affected life-expectancy of AAA patients. They performed national evaluation including all 12,907 (82.7% male) patients who were managed with performing elective AAA repair between 2001 and 2015 in Sweden. A time-resolved analysis based on 3 timeframes was performed to establish the impact of changes in AAA management: open repair dominated period (2001–2004, n = 2,483), transition period (2005–2011, n = 6,230), and EVAR-first strategy period (2012–2015, n = 4,194). Observations revealed reduction in short-term mortality in correlation with changes in elective AAA management, but there was no improvement in the profound long-term survival disadvantage of AAA patients. As there is persistently high (cardiovascular) mortality, they emphasize further intensification of cardiovascular risk management, and a critical appraisal of the basis for the excess mortality of AAA patients.