Abdominal aortic aneurysms (AAAs) affect more than 1 million adults in the United States.1 In the Aneurysm Detection and Management (ADAM) trial,2 rupture risks were high for aneurysms larger than 5.5 cm, and repair was recommended in patients who were medically fit. With endovascular aneurysm repair (EVAR), repair in patients with major comorbidities has been advocated. However, 5-year survival after successful aneurysm repair remains less than 70%.3 It is imperative to determine the best screening methods, proper intervention thresholds, and optimal intervention for AAA repair.
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Cooper MA, Upchurch GR. The Society of Vascular Surgery Practice Guidelines on the Care of Patients With Abdominal Aortic Aneurysms. JAMA Surg. Published online April 17, 2019154(6):553–554. doi:10.1001/jamasurg.2019.0566
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