AI Article Synopsis
- - Current guidelines suggest repairing asymptomatic abdominal aortic aneurysms at a diameter of 5.5 cm, primarily based on studies that may not represent women.
- - Women, who tend to have smaller aortas, are often older and have more health risks, which could make the standard threshold for repair less applicable to them.
- - The discussion includes whether the repair threshold should be adjusted to a smaller size for women due to these unique factors affecting their health outcomes post-repair.
Article Abstract
Current practice guidelines recommend repair of asymptomatic abdominal aortic aneurysms once they reach the 5.5-cm-diameter threshold and are based on information from randomized controlled trials. However, because aneurysms are more common in men, women are under-represented in these trials, and questions persist about whether this repair threshold should apply to them. In addition, women have smaller aortas to begin with and in most aneurysm cohorts are older, have more atherosclerotic risk factors, are less likely to be anatomic candidates for endovascular repair, and do poorer after emergency or elective repair of their aneurysm. These are just some of the issues that our discussants address in determining whether the repair threshold should be at a smaller diameter for women.
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| http://dx.doi.org/10.1016/j.jvs.2014.07.022 | DOI Listing |
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