High risk patient analysis
Regardless of Age both groups fared significantly better at five years with elective repair compared to emergency repair (p=0.0024) or non-operative management (p=0.0041). Rupture rate is closely correlated with expansion rate, P2.
This study, in line with previous work at the WVI2,3, has shown that screening is vital to enhance overall survival from AAA. Patient Selection for Elective repair needs to be stringent. However, age alone, should not influence choice of management and screening should reduce the incidence of octogenarian rupture while at the same time identifying those most suitable for non-operative management.