This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Endovascular or open repair for ruptured abdominal aortic aneurysm: 30-day outcomes from the IMPROVE randomised trial. BMJ 2014;348:f7661.

Published: 13th January 2014

Authors: IMPROVE trial investigators

Conclusion

The study included 613 patients with clinical suspicion of ruptured aortic aneurysm. Thirty-day mortality was similar following an endovascular strategy (35 per cent) or open surgical repair (37 per cent), with no cost difference. With an endovascular strategy, women appeared to have lower mortality and patients were discharged home sooner.

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