ArticleJournal of vascular surgery2021
Epidemiology of endovascular and open repair for abdominal aortic aneurysms in the United States from 2004 to 2015 and implications for screening.
Article in Journal of vascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- A meta-analysis of the diagnostic accuracy of dual-energy computed tomography for endoleak detection after endovascular aneurysm repair.European radiology · 2025Pooled it
- 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
- 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
- Guideline
- Long-Term Outcomes of Omniflow II and BioIntegral Xenografts for Open Aortic Reconstruction in Predominantly Infected Settings: A Multicenter Cohort Study.World journal of surgery · 2026Observational
- Influence of breathing-induced motion on hemodynamics following fEVAR with renal stenting.Annals of biomedical engineering · 2026Article
- Tranilast ameliorates experimental abdominal aortic aneurysm by inhibiting the NLRP3 inflammasome pathway.Journal of pharmaceutical analysis · 2026Article
- Exploring socioeconomic disparities in outcomes and follow-up after endovascular treatment of abdominal aortic aneurysms among Medicare beneficiaries.Journal of vascular surgery · 2025Article
- Disparities in postoperative surveillance and use of emergency health services following endovascular abdominal aortic aneurysm repair among Medicare beneficiaries.Journal of vascular surgery · 2025Article
- Management of a unique hourglass-shaped abdominal aortic aneurysms: A case report.International journal of surgery case reports · 2025Article
- Ten years of physician-modified endografts.Journal of vascular surgery · 2025Article
- Dietary inflammatory potential, genetic susceptibility, and systemic inflammation indices in relation to abdominal aortic aneurysm risk: a prospective cohort study.Frontiers in nutrition · 2025Article
- When Endovascular Interventions for Endoleaks Fail.Seminars in interventional radiology · 2024Review
- Advanced Abdominal Aortic Aneurysm Modeling in Mice by Combination of Topical Elastase and Oral ß-aminopropionitrile.Journal of visualized experiments : JoVE · 2024Article
- Opportunistic Ultrasound Screening for Abdominal Aortic Aneurysm.Annals of vascular diseases · 2024Article
- Novel Strategies for the Hostile Iliac Artery during Endovascular Aortic Aneurysm Repair.Vascular specialist international · 2024Review
- Vascular Anastomoses and Dissection: A Six-Part Simulation Curriculum for Surgical Residents.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- How we do a mini-retroperitoneal approach for infrarenal aortoiliac aneurysm.Journal of vascular surgery cases and innovative techniques · 2023Article
- Comparison of Unibody and Non-Unibody Endografts for Abdominal Aortic Aneurysm Repair in Medicare Beneficiaries: The SAFE-AAA Study.Circulation · 2023Article
- Mortality analysis of endovascular aneurysm sealing versus endovascular aneurysm repair.Journal of vascular surgery · 2023Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
backgroundContemporary national trends in the repair of ruptured abdominal aortic aneurysms (AAAs) and intact AAAs are relatively unknown. Furthermore, screening is only covered by insurance for patients aged 65 to 75 years with a family history of AAAs and for men with a positive smoking history. It is unclear what proportion of patients who present with a ruptured AAA would have been candidates for screening.
methodsUsing the National Inpatient Sample from 2004 to 2015, we identified ruptured and intact AAA admissions and repairs using the International Classification of Diseases codes. We generated the screening-eligible cohort using previously identified proportions of male smokers (87%) and all patients with a family history of AAAs (10%) and applied these proportions to patients aged 65 to 75 years. We accounted for those who could have had a previous AAA diagnosis (17%), either from screening or an incidental detection in patients aged >75 years who had presented with AAA rupture. The primary outcomes were treatment and in-hospital mortality between patients meeting the criteria for screening vs those who did not.
resultsWe evaluated 65,125 admissions for ruptured AAAs and 461,191 repairs for intact AAAs. Overall, an estimated 45,037 admitted patients (68%) and 25,777 patients who had undergone repair for ruptured AAAs (59%) did not meet the criteria for screening. Of the patients who did not qualify, 27,653 (63%) were aged >75 years, 10,603 (24%) were aged <65 years, and 16,103 (36%) were women. Endovascular AAA repair (EVAR) increased for ruptured AAAs from 10% in 2004 to 55% in 2015 (P < .001), with operative mortality of 35%. EVAR increased for intact AAAs from 45% in 2004 to 83% in 2015 (P < .001), with operative mortality of 2.0%.
conclusionsMost patients who had undergone repair for ruptured AAAs did not qualify for screening. EVAR was the primary treatment of both ruptured and intact AAAs with relatively low in-hospital mortality. Therefore, expansion of the screening criteria to include selected women and a wider age range should be considered.
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