Abstract
We have read with great interest the paper published by de Guerre et al.1 The authors stressed the role of aneurysm diameter in late outcomes of endovascular aneurysm repair (EVAR). Patients with large abdominal aortic aneurysms (AAAs) (diameter >65 mm) undergoing EVAR had higher 5-year adjusted rate of reintervention, rupture, mortality, and loss to follow-up compared with EVAR patients with smaller AAAs or patients with large AAAs who underwent open surgery. The authors conclude that fit patients with large AAAs should be considered for open repair and emphasized the need for a rigorous long-term follow-up after EVAR.
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