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In a previously reported U.K. trial of 613 patients with clinically suspected rupture of abdominal aortic aneurysm (AAA), 30-day mortality and hospital costs were similar in patients randomized to endovascular repair (in those with suitable aortic anatomy) and patients randomized to open repair; ruptures were confirmed in 502 patients (NEJM JW Gen Med Mar 1 2014 and BMJ 2014; 348:f7661). Now, the investigators report 3-year outcomes.
Mortality was similar between groups at 90 days. It was significantly lower in the endovascular group than in the open-repair group at 3 years (48% vs. 56%), but not at 7 years (≈60% in both groups). Quality of life was higher in the endovascular group at 1 year but was similar between groups at 3 years. When in…