Abdominal Aortic Aneurysm (AAA)

2007-05-04T10:26:00.000+01:00

This review is a pragmatic attempt to highlight recent research and some background reading on AAA. It should not be considered exhaustive, simply a way of reviewing some of the major developments and current thinking in the area.

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Evidence-Based Reports

In patients suspected of having abdominal aortic aneurysms is ED bedside ultrasound performed by EM physicians as good as that performed by radiologists at accurately detecting AAA? BestBETS, 2006 View answer OR Can you answer this question for extra CPD?
Screening for abdominal aortic aneurysm (AAA) reduced AAA mortality in Danish men 64–73 years of age. Evidence-Based Medicine (Requires free registration), 2005
Screening for abdominal aortic aneurysms was cost effective for prolonging survival from AAA related death in older men. Evidence-Based Medicine (Requires free registration), 2004
Screening for abdominal aortic aneurysm reduced death from AAA in older men. Evidence-Based Medicine (Requires free registration), 2003

Clinical Guidelines

Abdominal aortic aneurysm screening. National Screening Committee statement. 2006
Screening for abdominal aortic aneurysms: recommendation statement. U.S. Preventive Services Task Force, 2005

Systematic Reviews

Endovascular treatment for ruptured abdominal aortic aneurysm. Cochrane Database of Systematic Reviews, 2007
Abdominal Aortic Aneurysm. Agency for Healthcare Research and Quality - Evidence-based Practice, 2006
Stent-graft placement in abdominal aortic aneurysm. NICE, 2006
Primary care screening for abdominal aortic aneurysm. Health Technology Assessment, 2005
Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. Health Technology Assessment, 2006
A systematic review update of the recent evidence for the safety and efficacy of elective endovascular repair in the management of infrarenal abdominal aortic aneurysms. DARE, 2005
Decision-analytical model with lifetime estimation of costs and health outcomes for one-time screening for abdominal aortic aneurysm in 65-year-old men. NHS EED, 2005
Cost-effectiveness of screening women for abdominal aortic aneurysm. NHS EED, 2006

Recent articles in core journals

Inflammatory abdominal aortic aneurysm. JAMA, 2007
Abdominal aortic aneurysm. American Family Physician, 2006
External validation of the Glasgow Aneurysm Score to predict outcome in elective open abdominal aortic aneurysm repair. Journal of Vascular Surgery, 2006
The Hardman index in patients operated on for ruptured abdominal aortic aneurysm: A systematic review. Journal of Vascular Surgery, 2006
Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. NEJM, 2005
Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ, 2004
A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. NEJM, 2004

eTextbooks

Clinical Queries

What is the likely mortality/complication rate from an undiagnosed aneurysm versus the mortality/ complication rate from an elective repair? NLH Q&A Service, 2006 View answer OR Can you answer this question for extra CPD?
In a patient with an established abdominal aortic aneurysm is there any evidence that statins prevent expansion +/or rupture? Or conversely, could eroding the plaque actually weaken the arterial wall? NLH Q&A Service, 2006 View answer OR Can you answer this question for extra CPD?
Can people with abdominal aortic aneurysms take part in exercise programmes or cardic rehabilitation programmes? NLH Q&A Service, 2005
Endovascular Stents (EVAR)/Abdominal Aortic Aneurysm (infrarenal). ARIF, 2006
Fenestrated Endovascular Stents (EVAR)/Complex Abdominal Aortic Aneurysms. ARIF, 2005

Patient Information

TRIP Evidence Reviews: Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm (AAA)