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 repair of abdominal aortic aneurysm in patients physically ineligible for open repair: very long-term follow-up in the EVAR-2 randomized controlled trial. Ann Surg 2017; 266: 713-719.

Published: 15th December 2017

Authors: Sweeting MJ, Patel R, Powell J, Greenhalgh RM, for the, EVAR Trial Investigators et al.

Conclusion

Only 23/404 original patients were alive after a mean of 12 years. Survival was similar after EVAR (5.3 per cent) or no EVAR (8.5 per cent), P=0.97. Aneurysm-related death was less common after EVAR: hazard ratio 0.55, 95 per cent confidence interval 0.34 to 0.91, P=0.019.

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