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  <title>Landmark Paper Series: Abdominal Aortic Aneurysm</title>
  <description>Welcome back to the Audible Bleeding Series: Landmark Papers in Vascular Surgery. In this episode, Audible Bleeding editor John Culhane and co-host Dr. Jesse Columbo are joined by our guests, Dr. David Stone, Dr. Salvatore Scali, and Dr. Anders Wanhainen to unpack one of the longest-running debates in aortic surgery: when (and whether) to repair an abdominal aortic aneurysm. We’ll start our episode with the open-repair era and the two trials that set the basis for the 5.5 cm threshold—UKSAT and ADAM—then move into the early EVAR years with PIVOTAL and CAESAR, which asked whether fixing smaller aneurysms with endovascular technology could do better. Finally, we’ll look at how modern screening programs, improved medical therapy, and current guidelines have reshaped the practical decisions we make for these patients every day. &amp;amp;nbsp;  Links to Papers Discussed:  Open Surgery Era   1.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; UKSAT (1998)   2.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; ADAM (2002)&amp;amp;nbsp;   &amp;amp;nbsp;   Endovascular Era   1.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; PIVOTAL (2010)   2.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; CAESAR (2012)&amp;amp;nbsp;   &amp;amp;nbsp;  Contemporary Results   1.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Oliver-Williams/NHS NAAASP&amp;amp;nbsp;   2.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; Rokosh/SVS Guidelines   3.&amp;amp;nbsp;&amp;amp;nbsp;&amp;amp;nbsp; ESVS 2026 Guidelines &amp;amp;nbsp;  Guests:  Dr. David Stone, MD (@DHStoneMD); Dartmouth  Dr. Salvatore Scali, MD (@UFVascular); University of Florida  Dr. Anders Wanhainen, MD, PhD (@AWanhainen); Uppsala University, Sweden  &amp;amp;nbsp;  Hosts:  John Culhane, MD (@JohnCulhaneMD); Vascular Surgery Fellow, Montefiore  Dr. Jesse Columbo, MD; Dartmouth &amp;amp;nbsp;  Follow us  @audiblebleeding, &amp;amp;nbsp;  Learn more about us at  https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device. </description>
  <author_name>Audible Bleeding</author_name>
  <author_url>https://www.audiblebleeding.com/</author_url>
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