Pouncey AL, David M, Morris RI, et al. - Following the repair of an abdominal aortic aneurysm, women are still at an increased risk of death. After endovascular aneurysm repair (EVAR) and open aneurysm repair (OAR), women had a greater rate of transfusion, pulmonary, and gastrointestinal problems.

• Participants in the study were 371,215 men and 65,465 women.

• According to meta-analysis and meta-regression, the gender-specific odds ratios for 30-day mortality remained unchanged from 2000 to 2020.

• Women had a higher mortality risk for OAR and an even higher risk for EVAR, and this remained after multivariable risk adjustment.

• Following EVAR, women were more likely to experience arterial injury, limb ischaemia, renal, and cardiac problems, the latter of which was linked to higher mortality risk in meta-regression.

• Higher mortality risk ratios for EVAR may be caused by cardiac complications, additional arterial injury, and embolisation, which can result in renal and limb ischaemia.

• Such findings point to potential causes of observed outcome disparities as well as areas for quality improvement.