Document Detail


Utility of computed tomography for surveillance of small abdominal aortic aneurysms. Preliminary report.
MedLine Citation:
PMID:  2222174     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the ability of computed tomography to predict the potential for expansion of small abdominal aortic aneurysms, we analyzed the computed tomographic scans of 30 patients who had two or more abdominal computed tomographic scans at least 6 months apart between 1979 and 1989. Clinical variables and 10 defined objective characteristics of computed tomography were evaluated. Twenty-five men and five women with abdominal aortic aneurysms ranging from 30 to 64 mm (mean, 45 mm) were followed up with serial computed tomographic scans for a mean (+/- SE) of 26 +/- 3 months. In 19 patients, enlargement of aneurysm diameter of 3 mm or more on serial computed tomographic scans was noted, whereas in 11, there was little or no expansion. Of the clinical variables studied, only serum cholesterol correlated with an increased risk of expansion. Thrombus area, measured by computed tomography, was 7.3 +/- 0.9 cm2 in enlarging aneurysms vs 4.3 +/- 0.9 cm2 in stable aneurysms. Based on these preliminary data, we conclude that computed tomography may provide valuable information about the likelihood of future expansion of small abdominal aortic aneurysms.
Authors:
W C Krupski; A Bass; D W Thurston; R B Dilley; E F Bernstein
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  125     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1990-11-02     Completed Date:  1990-11-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1345-9; discussion 1349-50     Citation Subset:  AIM; IM    
Affiliation:
Division of Vascular and Thoracic Surgery, Scripps Clinic and Research Foundation, La Jolla, Calif.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aorta, Abdominal / physiopathology,  radiography
Aortic Aneurysm / blood,  physiopathology,  radiography*
Calcinosis / radiography
Cholesterol / blood
Coronary Disease / physiopathology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction / physiopathology
Probability
Prognosis
Thrombosis / radiography
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
57-88-5/Cholesterol

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


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