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Seminal Papers
Deep dives into the landmark papers that define modern vascular surgery practice
Seminal PapersIntermediate
EVAR-1 Trial — A Deep Dive into the Landmark Endovascular Repair Study
EVAR-1 fundamentally changed how we manage abdominal aortic aneurysms. The trial showed lower 30-day mortality for EVAR but no long-term survival advantage. Its legacy is the framework for shared decision-making in AAA repair.
Professor Robert Sheridan18 Jul 202612 min read
Seminal PapersIntermediate
The CAESAR Trial — Surveillance vs Early Surgery for Small Aneurysms
CAESAR investigated whether early EVAR for small AAAs (4.1–5.4 cm) improved outcomes compared with ultrasound surveillance. No survival benefit was found for early repair. The trial confirmed that the 5.5 cm threshold for intervention remains appropriate.
Dr Sarah Mitchell18 Jul 20268 min read