LUCY results show females have equivalent outcomes to males following endovascular abdominal aortic aneurysm repair despite more complex aortic morphology

Association of Sex With Repair Type and Long-term Mortality in Adults With Abdominal Aortic Aneurysm

“…Developing grafts to overcome this challenge could result in improved outcomes for women undergoing elective EVR repair. Development of these grafts is underway with the LUCY study (ClinicalTrials.gov identifier NCT02479191) 35 assessing a device that may accommodate small-diameter access vessels and challenging aortic necks. Careful evaluation of long-term outcomes in such devices appears to be essential, especially in light of the nearly 4-fold increase in mortality risk that we found among women undergoing EVR repair with an Endologix graft.…”

“Aortic Balloon Molding” during Ovation Endograft Implantation Expands Graft Use for Hostile Neck Anatomy

“…al suggests that despite their more complex anatomy, women had comparable procedural and perioperative outcomes out to one year following EVAR with the low profile Ovation stent graft. 21 Additionally, Varkevisser et al used the ENCORE database and found similar 5-year freedom from type 1A EL between men and women using the Ovation endograft, despite more challenging neck anatomy in women. 22 Overall, studies have suggested that use of the Ovation endograft device expands the range and complexity of AAAs that can be treated with endovascular repair.…”

Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm

“…There are long term studies about the first two systems, and they compare favorably to historical results for AAA treatment in women. [265][266][267] Women with AAA are treated at older ages, with more comorbidities, and have proportionally larger aneurysms. They frequently have anatomies hostile to EVAR, with small-caliber aortas, iliac arteries, and femoral arteries, as well as more advanced atherothrombotic disease.…”