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Published on: December 11, 2017

Late survival after elective repair of aortic aneurysms detected by screening

J C Taylor1, E Shaw, M R Whyman

  • 1Gloucestershire Vascular Group, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|August 4, 2004
PubMed

Insights

Men undergoing elective repair of abdominal aortic aneurysms (AAA) detected via screening had better survival rates than those with incidentally detected AAA. This survival advantage is linked to younger age at surgery for screen-detected cases.

Area of Science:

  • Vascular Surgery
  • Public Health Screening
  • Epidemiology

Background:

  • Abdominal aortic aneurysm (AAA) repair outcomes are critical for patient survival.
  • Screening programs aim to detect AAA earlier for potential improved outcomes.
  • Comparing outcomes of screen-detected versus incidentally-detected AAA is essential.

Purpose of the Study:

  • To determine if elective repair of screen-detected AAA offers a survival benefit compared to incidentally detected AAA.
  • To analyze survival rates and mortality following AAA repair based on detection method.

Main Methods:

  • Retrospective analysis of 424 men undergoing elective AAA repair (1990-1998).
  • Comparison of survival data between screen-detected (n=181) and incidentally-detected (n=243) AAA groups.
  • Survival curves analyzed using regression and log-rank testing with minimum 5-year follow-up.

Main Results:

  • Lower 30-day postoperative mortality for screen-detected AAA (4.4%) versus incidental (9.0%).
  • Significantly better 5-year (78% vs. 65%) and 10-year (63% vs. 40%) survival rates for screen-detected AAA.
  • Multivariate analysis indicated younger age at surgery for screen-detected AAA was a key factor.

Conclusions:

  • Elective AAA repair following ultrasound screening is associated with improved long-term survival.
  • Patients with screen-detected AAA were younger at the time of surgical repair, contributing to better outcomes.
  • Screening for abdominal aortic aneurysms may lead to more favorable surgical outcomes.
Abstract

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