Why the study?
Does immediate open surgical repair reduce death from any cause in patients 50 to 79 years old with small abdominal aortic aneurysms (4.0-5.4 cm) compared to surveillance?
Population
1,136 patients 50 to 79 years old with abdominal aortic aneurysms of 4.0 to 5.4 cm in diameter who did not…
Comparison
Immediate open surgical repair of the aneurysm. vs Surveillance by means of ultrasonography or…
Design
RCT, randomly assigned
Follow-up
mean 4.9 years (range 3.5 to 8.0 years)
Authors
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Surveillance remains appropriate for small AAAs; confirms no mortality benefit from immediate open repair.
Does immediate open surgical repair reduce death from any cause in patients 50 to 79 years old with small abdominal aortic aneurysms (4.0-5.4 cm) compared to surveillance?
Immediate open surgical repair of small abdominal aortic aneurysms (4.0-5.4 cm) does not improve survival compared to a strategy of surveillance.
Lederle et al. (2002) studied this question.
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