Summary
Definition
History and exam
Key diagnostic factors
- palpable pulsatile abdominal mass
Other diagnostic factors
- abdominal, back, or groin pain
- hypotension
Risk factors
- cigarette smoking
- hereditary/family history
- increased age
- male sex (prevalence)
- female sex (rupture)
- congenital/connective tissue disorders
- hyperlipidemia
- COPD
- atherosclerosis (i.e., coronary artery disease [CAD], peripheral arterial occlusive disease)
- hypertension
- central obesity
- nondiabetic
- fluoroquinolone antibiotic use
- aneurysms elsewhere in the body
Diagnostic tests
1st tests to order
- abdominal ultrasound
Tests to consider
- computed tomography angiography (CTA)/CT
- positron emission tomography-computed tomography (PET-CT)
- erythrocyte sedimentation rate (ESR)/C-reactive protein (CRP)
- CBC
- blood cultures
Treatment algorithm
ruptured AAA
symptomatic, but not ruptured AAA
incidental finding: small asymptomatic AAA
incidental finding: large asymptomatic AAA
endovascular repair leak requiring treatment
Contributors
Authors
Professor Anahita Dua, MBCHB, MS, MBA, FACS
Associate Professor of Surgery
Massachusetts General Hospital/Harvard Medical School
Department of Vascular and Endovascular Surgery
Boston
MA
გაფრთხილება:
AD declares that she has no competing interests.
მადლიერება
Professor Anahita Dua would like to gratefully acknowledge Professor Matt Bown, Mr Andrew Duncan, Dr Maureen K. Sheehan, Dr Dawn M. Barnes, and Dr Gilbert R. Upchurch, previous contributors to this topic.
გაფრთხილება:
MKS, DMB, and GRU declare that they have no competing interests.
რეცენზენტები
Ross Naylor, MBBS
Professor of Vascular Surgery
Vascular Surgery Group
Division of Cardiovascular Sciences
Leicester Royal Infirmary
UK
გაფრთხილება:
RN declares that he has no competing interests.
William Pearce, MD
Chief of Division of Vascular Surgery
Department of Surgery
Northwestern Memorial Hospital
Chicago
IL
გაფრთხილება:
WP declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
წყაროები
ძირითადი სტატიები
Wanhainen A, Van Herzeele I, Bastos Goncalves F, et al. Editor's choice -- European Society for Vascular Surgery (ESVS) 2024 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg. 2024 Feb;67(2):192-331.სრული ტექსტი აბსტრაქტი
Owens DK, Davidson KW, Krist AH, et al; US Preventive Services Task Force. Screening for abdominal aortic aneurysm: US Preventive Services Task Force recommendation statement. JAMA. 2019 Dec 10;322(22):2211-8.სრული ტექსტი აბსტრაქტი
Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022 Dec 13;146(24):e334-e482.სრული ტექსტი აბსტრაქტი
Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018 Jan;67(1):2-77.e2.სრული ტექსტი აბსტრაქტი
გამოყენებული სტატიები
ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.
დიფერენციული დიაგნოზები
- Diverticulitis
- Ureteric colic
- Irritable bowel syndrome (IBS)
მეტი დიფერენციული დიაგნოზებიგაიდლაინები
- 2024 EACTS/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ
- European Society for Vascular Surgery clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms
მეტი გაიდლაინებიპაციენტის ბროშურები
Abdominal aortic aneurysm
მეტი პაციენტის ბროშურებიVideos
Tracheal intubation: animated demonstration
Bag-valve-mask ventilation: animated demonstration
მეტი ვიდეოებიშედით სისტემაში ან გამოიწერეთ BMJ Best Practice
ამ მასალის გამოყენება ექვემდებარება ჩვენს განცხადებას