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Aortic aneurysm screening using duplex ultrasound: Choosing wisely who to examine
- Source :
- Seminars in vascular surgery. 33(3-4)
- Publication Year :
- 2020
-
Abstract
- The noninvasive vascular laboratory plays a critical role in screening patients at risk for development of abdominal aortic aneurysm (AAA). One-time duplex ultrasound screening reduces aneurysm-related mortality due to rupture and is cost-effective. Population screening based on AAA risk factors is recommended, as it allows for proactive, elective repair of aneurysms at risk for rupture, and surveillance of smaller aneurysms for enlargement. Utilization of societal screening guidelines, such as those published by the Society for Vascular Surgery, can be employed by vascular laboratories to justify individual patient screening, aid primary care physicians to refer patients for testing, and encourage integrated medical health care systems to build prompts in patient electronic health records to ensure compliance with a AAA screening program. Risk factors for developing AAA, that is, age older than 65 years, male sex, family history, and a smoking history of >100 cigarettes, should be used to recommend patient screening, including for women and other elderly (older than 75 years) patients who fall outside of professional societal guidelines.
- Subjects :
- Male
medicine.medical_specialty
Clinical Decision-Making
030232 urology & nephrology
MEDLINE
030204 cardiovascular system & hematology
Risk Assessment
03 medical and health sciences
Aortic aneurysm
0302 clinical medicine
Predictive Value of Tests
Risk Factors
medicine
Humans
cardiovascular diseases
Aorta, Abdominal
Family history
Aged
Ultrasonography, Doppler, Duplex
business.industry
Vascular surgery
medicine.disease
Prognosis
Abdominal aortic aneurysm
Predictive value of tests
Emergency medicine
cardiovascular system
Surgery
Female
Cardiology and Cardiovascular Medicine
Risk assessment
business
Abdominal surgery
Aortic Aneurysm, Abdominal
Subjects
Details
- ISSN :
- 15584518
- Volume :
- 33
- Issue :
- 3-4
- Database :
- OpenAIRE
- Journal :
- Seminars in vascular surgery
- Accession number :
- edsair.doi.dedup.....b8797fe0b486c11fcb30c81c53ab3717