Why the study?
Does an endovascular first strategy reduce mortality at 1 year compared to open repair in patients with ruptured abdominal aortic aneurysm?
Population
613 patients with a clinical diagnosis of ruptured abdominal aortic aneurysm
Comparison
Endovascular first strategy vs Open repair
Design
RCT, randomized
Follow-up
1 year
Authors
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Endovascular-first strategy remains reasonable for ruptured AAA given equivalent mortality; extends evidence by confirming faster discharge, better quality of life, and cost-effectiveness.
Does an endovascular first strategy reduce mortality at 1 year compared to open repair in patients with ruptured abdominal aortic aneurysm?
An endovascular first strategy for ruptured abdominal aortic aneurysm does not improve 1-year survival compared to open repair, but offers faster discharge, better quality of life, and is cost-effective.
Improve Improve Trial Investigators (2015) studied this question.
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