Benefits and harms of screening men for abdominal aortic aneurysm in Sweden: a registry-based cohort study

Editor's Choice – Endovascular vs. Open Repair for Abdominal Aortic Aneurysm: Systematic Review and Meta-analysis of Updated Peri-operative and Long Term Data of Randomised Controlled Trials

“…In a large Swedish registry based cohort study, the AAA mortality was 36 deaths per 100 000 men aged 65e74 years in the early 2000s dropping to 10 deaths per 100 000 men of the same age in 2015. 2 The past couple of decades have witnessed the advent and evolution of endovascular aneurysm repair (EVAR), which has become an established less invasive treatment with a marked improvement in peri-operative morbidity, mortality, and recovery compared with traditional surgery. From 2009 to 2013, an increase was observed in the proportion of repairs being performed as endovascular procedures in the UK (54% in 2009 rising to 66% in 2013), and this trend has stabilised over the last few years, with EVAR procedures accounting for 68% of the elective infrarenal AAA repairs in 2017.…”

Editor's Choice – Assessment of Correlation Between Mean Size of Infrarenal Abdominal Aortic Aneurysm at Time of Intact Repair Against Repair and Rupture Rate in Nine Countries

“…17 As a result, the data presented in this study (including data from England, Sweden, and the USA) may not reflect analysis influenced by screening as screening needs a minimum of six to ten years for any benefit in reduction in rAAA. 18 Thus, the larger than recommended mean diameter of iAAA repair may partly be due to lack of screen detected AAA. Clinicians may also increase the individual threshold for iAAA repair to 60 mm or more in elderly patients or those with important comorbidities or technically challenging aneurysms, in order to balance the increased peri-operative risk against the risk of rupture.…”

Challenges for Intelligent Data Analysis Methods in Medical Image Analysis during Surgical Interventions of Aneurysms

“…All these appropriateness criteria (as they are called) follow a standard format containing explanatory notes by experts. Recently a study was conducted [41] in Sweden, to estimate the effect of AAA screening on disease-specific mortality, incidence and surgery. It was found that AAA mortality in Swedish men has decreased from 36 to 10 deaths per 100,000 men aged 65-74 years between the early 2000s and 2015.…”