ArticleThe New England journal of medicine2015
Long-Term Outcomes of Abdominal Aortic Aneurysm in the Medicare Population.
Article in The New England journal of medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04532450 (Outcomes of Fenestrated and Branched Stent Grafts to Treat Secondary Type 1 Endoleak After Endovascular Aneurysm Repair), which is not on this map. Cited by 153 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Outcomes of Fenestrated and Branched Stent Grafts to Treat Secondary Type 1 Endoleak After Endovascular Aneurysm Repair : A Prospective Multicentre Study
Who cites it
153 citing papers in PubMed, 5 syntheses or guidelines pooled it, 494 citations in OpenAlex.
- 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.The Journal of thoracic and cardiovascular surgery · 2023Guideline
- Remote ischaemic preconditioning versus no remote ischaemic preconditioning for vascular and endovascular surgical procedures.The Cochrane database of systematic reviews · 2023Pooled it
- Guideline
- 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2022Guideline
- Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years.The British journal of surgery · 2017Pooled it
- Patient information sources when facing repair of abdominal aortic aneurysm.Journal of vascular surgery · 2020Trial
- Comparison of the intraoperative intra-aneurysm pressure gradients among seven off-the-shelf endovascular aneurysm repair devices.Surgery today · 2026Article
- Impact of same-day admissions on outcomes of elective open aortic surgery for infrarenal abdominal aortic aneurysms: a single-center retrospective analysis.Annals of medicine and surgery (2012) · 2026Article
- Clinical benefits and risks of the wall-push technique in endovascular repair of abdominal aortic aneurysm with severely angulated neck: a case report.European heart journal. Case reports · 2026Article
- Temporal Trends and Demographic Disparities in Abdominal Aortic Aneurysm Mortality Among U.S. Adults Aged ≥ 65 Years, 1999-2024: A Nationwide Population-Based Analysis of CDC WONDER Data.Journal of clinical medicine · 2026Article
- Comparison of endoleak diagnostic efficacy of contrast-enhanced ultrasound and computed tomography angiography after endovascular aneurysm repair for abdominal aortic aneurysm.Journal of vascular surgery cases and innovative techniques · 2026Article
- Data-Driven Phenotyping Reveals Nonuniform Association Between Age and Mortality After Aortic Surgery: Retrospective Cohort Study of UK Biobank Data.JMIR aging · 2026Article
- Unsupervised cluster analysis identifies risk profiles driving heterogeneity and survival patterns in aortic aneurysm patients.Scientific reports · 2026Article
- Endovascular and Open Surgical Repair of Intact Abdominal Aortic Aneurysms: Outcomes, Treatment Trends and Early Mortality Risk Factors in a Single-Centre Study over 18 Years.Journal of clinical medicine · 2026Article
- Laser fenestration and shape memory polymer embolization of type II endoleaks.Journal of vascular surgery cases and innovative techniques · 2026Article
- Perioperative predictors of complications in open abdominal aortic surgery: A retrospective analysis under a structured perioperative goal-directed therapy protocol.Journal of anesthesia and translational medicine · 2025Article
- Exploring socioeconomic disparities in outcomes and follow-up after endovascular treatment of abdominal aortic aneurysms among Medicare beneficiaries.Journal of vascular surgery · 2025Article
- Robotic-Assisted Vascular Surgery: Current Landscape, Challenges, and Future Directions.Journal of clinical medicine · 2025Review
- Automated quantification of abdominal aortic calcification using 3D nnU-Net: a novel approach to assess AAA rupture risk.BMC medical imaging · 2025Article
- Retrospective Review of Surgical Techniques in the Management of Abdominal Aortic Aneurysms.Journal of pharmacy & bioallied sciences · 2025Article
93 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundRandomized trials and observational studies have shown that perioperative morbidity and mortality are lower with endovascular repair of abdominal aortic aneurysm than with open repair, but the survival benefit is not sustained. In addition, concerns have been raised about the long-term risk of aneurysm rupture or the need for reintervention after endovascular repair.
methodsWe assessed perioperative and long-term survival, reinterventions, and complications after endovascular repair as compared with open repair of abdominal aortic aneurysm in propensity-score-matched cohorts of Medicare beneficiaries who underwent repair during the period from 2001 through 2008 and were followed through 2009.
resultsWe identified 39,966 matched pairs of patients who had undergone either open repair or endovascular repair. The overall perioperative mortality was 1.6% with endovascular repair versus 5.2% with open repair (P<0.001). From 2001 through 2008, perioperative mortality decreased by 0.8 percentage points among patients who underwent endovascular repair (P=0.001) and by 0.6 percentage points among patients who underwent open repair (P=0.01). The rate of conversion from endovascular to open repair decreased from 2.2% in 2001 to 0.3% in 2008 (P<0.001). The rate of survival was significantly higher after endovascular repair than after open repair through the first 3 years of follow-up, after which time the rates of survival were similar. Through 8 years of follow-up, interventions related to the management of the aneurysm or its complications were more common after endovascular repair, whereas interventions for complications related to laparotomy were more common after open repair. Aneurysm rupture occurred in 5.4% of patients after endovascular repair versus 1.4% of patients after open repair through 8 years of follow-up (P<0.001). The rate of total reinterventions at 2 years after endovascular repair decreased over time (from 10.4% among patients who underwent procedures in 2001 to 9.1% among patients who underwent procedures in 2007).
conclusionsEndovascular repair, as compared with open repair, of abdominal aortic aneurysm was associated with a substantial early survival advantage that gradually decreased over time. The rate of late rupture was significantly higher after endovascular repair than after open repair. The outcomes of endovascular repair have been improving over time. (Funded by the National Institutes of Health.).
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