The international surgical journal with global reach

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 aortic aneurysm in patients physically ineligible for open repair. N Engl J Med 2010; 362: 1872-1880.

Published: 1st January 2010

Authors: The United Kingdom EVAR Trial Investigators.

Conclusion

After eight years, three quarters of the original 404 patients had died. EVAR reduced aneurysm-related mortality (adjusted hazard ratio 0.53, 95 per cent confidence interval 0.32 to 0.89, P=0.02), but did not affect all cause mortality (0.99, 0.78 to 1.27, P=0.97).

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