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[Correspondence] Abdominal aortic aneurysms in women

Pinar Ulug and colleagues’ study in The Lancet (June 24, p 2482)1 showed that fewer women (34%) than men (54%) are eligible for endovascular aneurysm repair (EVAR) of intact abdominal aortic aneurysm (odds ratio [OR] 0·44, 95% CI 0·32–0·62). Furthermore, operative mortality after EVAR is higher in women than in men (OR 1·67, 95% CI 1·38–2·04). Ulug and colleagues suggested that if a reduced threshold for abdominal aortic aneurysm repair was introduced in women, this threshold could potentially alleviate mortality.