ESVS 2019: “Specific need” for improved management in ruptured AAAs in women

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Kevin Mani (Uppsala, Sweden) talks to BLearning Aortic at ESVS 2019 (European Society for Vascular Surgery; 24–27 September; Hamburg, Germany) about a recently published epidemiological analysis of ruptured abdominal aortic aneurysms (AAAs) in Sweden over a twenty-year period.

The analysis indicated that the epidemiology of ruptured AAAs is “changing quite rapidly in Sweden”, with the data showing that the incidence of rupture has decreased by a third and the mortality rate has also fallen. Much of this is “thanks to new technology including EVAR, the changing prevalence of smoking as well as screening and medical treatment for cardiovascular disease”, says Mani.

One of the “interesting findings”, he adds, was that despite a “significant improvement” in survival rates among men, “the same improvement rates cannot be seen in women”. For example, the mortality rate for males following a rupture rate has come down to 65%, while it is currently above 80% for women. Mani notes that, as such, these findings show that there is “a need for improvement in management of ruptured aortic aneurysms in women specifically”.

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