What question did this study set out to answer?

This research aims to analyze trends in the management of abdominal aortic aneurysms in France over nine years.

March 3, 2026

Trends in Abdominal Aortic Aneurysm Management in France Between 2012 and 2021 From the French Nationwide Database: Treatment Modalities and Outcomes.

Key Result

Between 2012-2021 in France, EVAR use for abdominal aortic aneurysms increased, with higher mortality linked to age >80, female sex, and comorbidity; high-volume centers showed better outcomes.

Key Points

This research aims to analyze trends in the management of abdominal aortic aneurysms in France over nine years.
Utilized data from the French Nationwide Database
Analyzed treatment modalities such as EVAR
Compared postoperative mortality rates by different patient demographics
Evaluated the impact of treatment centers' volume
EVAR usage for iAAA and rAAA increased during the study period
Postoperative mortality is higher in patients over 80 years and females
Higher volume centers reported better postoperative survival rates

Structured PICO

What are the trends in treatment modalities and predictors of postoperative mortality for abdominal aortic aneurysm management?

Population

Patients with intact (iAAA) or ruptured (rAAA) abdominal aortic aneurysms in France between 2012 and 2021

Intervention

Endovascular aneurysm repair (EVAR)

Outcome

Postoperative mortalityhard clinical

EVAR is increasingly used for AAA in France, and treatment at higher volume centers is associated with improved postoperative mortality.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

The proportion of iAAA and rAAA treated with EVAR increased throughout the study period. Increased Elixhauser score, age over 80 years, and female sex are associated with increased postoperative mortality. Higher volume centers have improved postoperative mortality rates.

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