Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis.

Authors :: Del Río-Solá MªL
Rosario RMª
Joan RO
Asensio-Rodriguez S
Sandra PF
Rodrigo RH
Source :: Cirugia espanola [Cir Esp (Engl Ed)] 2025 Jan 22. Date of Electronic Publication: 2025 Jan 22.
Publication Year :: 2025
Publisher :: Ahead of Print
Abstract: Introduction: The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.<br />Methods: A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.<br />Results: The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs. 4.0%) and renal failure (8.0% vs. 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs. 10.2 ± 5.7 days).<br />Conclusion: These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.<br /> (Copyright © 2025 AEC. Published by Elsevier España, S.L.U. All rights reserved.)

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