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Hadjibashi AA, Mirocha J, Cossman DV, Gewertz BL. Decreases in Diameters of Treated Abdominal Aortic Aneurysms and Reduction in Rupture Rate. JAMA Surg. 2013;148(1):72–75. doi:https://doi.org/10.1001/archsurg.2012.1151
Author Affiliations: Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Objective To determine whether the diameters of treated abdominal aortic aneurysms (AAAs) have changed during the last 10 years.
Design, Setting, and Patients A retrospective record review was completed on all patients undergoing any AAA repair from January 1, 2000, through December 31, 2009, at a single high-volume institution. All cases of repaired AAAs that had computed tomographic scans within 3 months of surgery were included. The mean and median maximal diameters of AAAs were noted. Correlation and regression analyses were used.
Main Outcome Measures The mean and median maximal diameters of AAAs.
Results Of 360 patients with treated AAAs, 339 met the inclusion criteria. The mean (SD) diameter of repaired AAAs decreased from 6.49 (1.46) cm (median, 6.40 cm) in 2000 to 5.83 (1.23) cm (median, 5.60 cm) in 2009. Correlation analysis confirmed a decrease in diameter across years (Pearson R = −0.141; P = .01). A fitted regression line also showed a decreasing trend (slope = −0.059 cm per year; P = .01).
Conclusions The diameters of repaired AAAs at our hospital have decreased progressively during the last decade. This observation is consistent with a reduction in the expansion rates of AAAs and may account for the progressive decreases in the aneurysm rupture rate in the United States.
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