Document Detail

The ectatic aorta: no benefit in surveillance.
MedLine Citation:
PMID:  20471205     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To determine if patients presenting with an infrarenal aorta of 25-30 mm in diameter benefit from continued ultrasound surveillance, and if so to identify the frequency required.
METHODS: All patients in the Leicestershire abdominal aortic aneurysm (AAA) screening program with an initial AAA diameter of 25-30 mm and who had undergone two or more surveillance scans were identified (345 patients). The primary endpoint was death from AAA rupture, referral for elective repair, or presentation with rupture. This information together with the duration of surveillance was recorded.
RESULTS: A total of 345 patients were followed up for mean of 4.25 years (1-11). At 5 years surveillance, there was a 97% freedom from referral for repair or death from rupture.
CONCLUSION: Patients presenting with an AAA diameter 25-30 mm may be safely deferred any further surveillance for a period of 5 years.
David M R Gibbs; Matthew J Bown; Gill Hussey; A Ross Naylor
Related Documents :
14560225 - Is cross-femoral bypass grafting a disadvantage of aortomonoiliac endovascular aortic a...
17885185 - Ruptured abdominal aortic aneurysms: endovascular repair versus open surgery--systemati...
8044595 - Outcome in patients who require renal support after surgery for ruptured abdominal aort...
11489645 - Surgical outcome of infectious aneurysm of the abdominal aorta with or without sirs.
11603605 - Homografts in patients with combined disease of the aortic valve and the ascending aort...
21876515 - An endovascular treatment of chronic cerebro-spinal venous insufficiency in multiple sc...
Publication Detail:
Type:  Journal Article     Date:  2010-05-13
Journal Detail:
Title:  Annals of vascular surgery     Volume:  24     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  908-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Inc.
Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, United Kingdom.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Abdominal / complications,  mortality,  surgery,  ultrasonography*
Aortic Rupture / etiology
Disease Progression
Kaplan-Meier Estimate
Life Tables
Mass Screening / methods*
Middle Aged
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Surgical Procedures, Elective
Time Factors
Vascular Surgical Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Hipogastric Artery Stenosis in a Patient with Severe Chronic Ischemia.
Next Document:  Multiple Mycotic Aneurysms due to Penicillin Nonsusceptible Streptococcus pneumoniae Solved With End...