Williams, Thomas, Jansen, Shirley, Golledge, Jon, Beck, Adam, Benson, Ruth, and Lyons, Oliver (2024) Support For a Randomised Trial of Early Endovascular Aortic Aneurysm Repair in Women in New Zealand, Australia, and America. European Journal of Vascular and Endovascular Surgery, 67 (5). pp. 848-849.

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Abstract

[Extract] The 2024 European Society for Vascular Surgery (ESVS) guidelines recommend a threshold for elective abdominal aortic aneurysm (AAA) repair of 55 mm diameter in men and 50 mm in women.1 The Society for Vascular Surgery guidelines suggest repair in women between 50 mm and 54 mm.2 The threshold for repair in women is recognised as an area of uncertainty.1 Small AAA rupture rates are almost four fold higher in women than men, and best available data (individual patient meta-analysis, n = 15 475) suggest that women’s rupture risk at 42 mm diameter equals that at 55 mm for men.3 New Zealand (NZ) Māori have a higher prevalence of AAA and poorer outcomes, compared with other NZ ethnicities, and some surgeons use a 50 mm threshold for Māori men.4

Item ID:	85901
Item Type:	Article (Research - C1)
ISSN:	1532-2165
Copyright Information:	© 2024 The Authors. Published by Elsevier B.V. on behalf of European Society for Vascular Surgery. This is an open access article under the CC BY.
Date Deposited:	11 May 2026 07:10
FoR Codes:	32 BIOMEDICAL AND CLINICAL SCIENCES > 3201 Cardiovascular medicine and haematology > 320101 Cardiology (incl. cardiovascular diseases) @ 100%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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