Ultrasonographic Screening for the Detection of Abdominal Aortic Aneurysms

Eckstein, H.‐H.; Böckler, Dittmar; Flessenkämper, I.; Schmitz‐Rixen, Thomas; Debus, Sebastian; Lang, Werner

doi:10.3238/arztebl.2009.0657

Cited by 30 publications

(35 citation statements)

References 29 publications

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“…Obtiveram-se 337 artigos tendo sido selecionadas 1 RS, 9 2 MA 18-19 e 7 NOC, [3][4][5]7,[22][23][24] após exclusão dos artigos que não cumpriam os critérios de inclusão, os artigos repetidos e os estudos originais que foram alvo de análise nas RS ou MA incluídas na presente revisão.…”

Section: Resultsunclassified

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Rastreio do aneurisma da aorta abdominal – revisão baseada na evidência

Cardoso

Mendes

2014

RPMGF

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INTRODUÇÃO U m aneurisma arterial é definido como uma dilatação localizada maior ou igual a 50% do diâmetro normal. 1 Como o diâmetro da artéria aorta infrarrenal é usualmente de 2cm, considera-se um AAA quando o diâmetro da aorta abdominal infrarrenal é maior ou igual a 3cm. 2-5 Os valores da prevalência de AAA foram resultado de estudos de rastreio em vários países e variam entre 4-9% nos homens e 1% nas mulheres, aumentando com a idade. 3,6-7 Estima-se que, de todas as mortes em ho

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Section: Resultsunclassified

“…3 Mais de 80% dos AAA são assintomáticos e frequentemente detetados como um achado ecográfico incidental. 5 Quando sintomáticos, a dor é a queixa mais frequente e geralmente situa-se no hipogastro ou na região dorsal/lombar. 3 É usualmente constante, com duração de horas a dias e caracterizada como "a roer".…”

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Rastreio do aneurisma da aorta abdominal – revisão baseada na evidência

Cardoso

Mendes

2014

RPMGF

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“…Zur Detektion von asymptomatischen AAA empfiehlt sich die Implementierung eines sonografischen Screening-Programms für die über 60-jährigen Patienten, wie es in jüngster Zeit auch von den Leitlinien der Deutschen Gesellschaft für Gefäßchirurgie vorgeschlagen wird. Anhand 4 randomisierter Studien mit nun langjähriger Nachbeobachtungsphase (Follow-up), konnte gezeigt werden, dass Vorsorgeuntersuchungen ("Screening") mittels Ultraschall in bestimmten Bevölkerungsgruppen zur deutlichen Senkung der AAA-assoziierten Mortalität führen und kostengünstig sind [51].…”

Section: Discussionunclassified

Das rupturierte abdominale Aortenaneurysma – Ergebnisse und prognostische Faktoren an einem gefäßchirurgischen Zentrum

et al. 2016

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Although the perioperative management has been optimised over the past few decades, there has not been a remarkable improvement in the mortality rates of patients with a ruptured abdominal aortic aneurysm (rAAA). The aim of this retrospective trial was to define pre-, intra- and postoperative parameters which influence the perioperative and long-term outcome of patients and which can be modified by the operating team. A retrospective database analysis was performed in 49 patients who had undergone an operation of rAAA in our certified centre of vascular surgery between the beginning of 2006 and the end of 2012. The minimal follow-up period was 30 months. The statistical analysis was done univariately using the Kaplan-Meier method and a log-rank-test, and multivariately with the Cox model. Intrahospital mortality was 40.8 %, perioperative mortality (30 postoperative days) was 28.9 %. The survival rate for 1 year was 52.4 %; the survival rate for 5 years was 45.3 %. In the univariate analysis, significant differences in the early postoperative survival rates were found depending on preoperative systolic blood pressure, preoperative haemoglobin (< 10 vs. ≥ 10 g/dl), the intraoperative need of blood and frozen plasma transfusions, type of perforation, type of AAA, the need for further surgical interventions, postoperative MOF, acute kidney failure and postoperative septicaemia. The late survival rates were significantly influenced by the type of perforation and AAA, pre-existing coronary disease and diabetes mellitus in fully identified patients discharged from hospital (n = 27). In the multivariate analysis pursuant to the Cox model, patients with pre-existing coronary disease had a 3.9-fold higher relative risk to die after the operation of rAAA, while patients with a free perforation of the rAA had a 10-fold higher relative risk. The high mortality of rAAA is caused by haemorrhagic shock and its complications, which are mostly non-surgical. Therapeutic efforts should focus on those perioperative parameters which can be modified by the treating teams. Alongside the centralisation of rAAA in high-volume-departments of vascular surgery, the systematic sonographic screening for asymptomatic AAA in the population older than 65 years should be enforced. A possible advantage of EVAR in rAAA has yet to be shown by trials in progress such as IMPROVE, AJAX and RCAR.

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“…Frauen mit einem BAA wird bereits bei einer Aneurysmagröße zwischen 4,5 und 5 cm eine Ausschaltung des Aneurysmas angeraten [32]. Diese Empfehlung spiegelt sich in den Daten aus dem Review von Sweeting et al aus 2012 wider [9].…”

Section: Asymptomatische Aneurysmenunclassified

Bauchaortenaneurysma – Diagnostik und interventionell-radiologische Therapie

Anton¹,

Stahlberg²,

Goltz³

2019

Radiopraxis

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Das Bauchaortenaneurysma (BAA) als eine fokale Erweiterung aller Wandschichten der Aorta abdominalis ist ein komplexes und lebensbedrohliches Krankheitsbild – Albert Einstein und Charles de Gaulle sind an einer Ruptur verblutet. Eine endovaskuläre Aortenreparatur (EVAR) oder offen-chirurgische Therapie haben das Ziel, das Rupturrisiko niedrig zu halten bzw. zu eliminieren und die Lebenserwartung des Patienten zu verbessern.

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Ultrasonographic Screening for the Detection of Abdominal Aortic Aneurysms

Cited by 30 publications

References 29 publications

Rastreio do aneurisma da aorta abdominal – revisão baseada na evidência

Rastreio do aneurisma da aorta abdominal – revisão baseada na evidência

Das rupturierte abdominale Aortenaneurysma – Ergebnisse und prognostische Faktoren an einem gefäßchirurgischen Zentrum

Bauchaortenaneurysma – Diagnostik und interventionell-radiologische Therapie

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