Ruptured Abdominal Aortic Aneurysms: Should We Palliate on Age?

Roosendaal et  al.1 conducted an up to date meta-analysis of mortality outcomes following ruptured abdominal aortic aneurysm (rAAA) in the over 80s, totalling 7 526 patients. The pooled results of eight studies identified an overall mortality rate of 43% at 30 days (27% endovascular aneurysm repair (EVAR), 52% o pen) with a significant advantage of EVAR over open repair. In addition, four studies totalling 2 550 patients reported one year mortality of 47%, also with a relative risk of 0.65 between EVAR and open.

Source: European Journal of Vascular and Endovascular Surgery - September 18, 2019 Category: Surgery Authors: Philip W. Stather Tags: Invited Commentary Source Type: research