Abdominal Aortic
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Abdominal aortic aneurysms often grow slowly and are usually asymptomatic. AAA is usually detected incidentally during a scan performed for another reason.
Load moreAbdominal aortic aneurysms often grow slowly and are usually asymptomatic. AAA is usually detected incidentally during a scan performed for another reason.
Screening studies in the UK have estimated a prevalence of 1.3–12.7%, depending on the age group. AAAs occur most frequently in men over the age of 65, among whom there are around 3,000 deaths each year in England and Wales due to rupture, accounting for around 1.7% of all deaths in men aged 65 and over.
Management of an AAA depends primarily on its size. Small and medium aneurysms (aortal diameters of 3–4.4 cm and 4.5–5.4 cm) are managed conservatively. When the aorta reaches a diameter of 5.5 cm (large aneurysm), a person is referred to a vascular surgeon.
Progressive aneurysm enlargement can lead to rupture and massive internal bleeding, which is fatal unless timely repair can be achieved. Endovascular aneurysm repair (EVAR), a minimally invasive technique, has been shown to reduce early morbidity and mortality as compared to conventional open AAA repair.
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Videos
Articles
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Ronald L Dalman, Ying Lu, Kenneth W Mahaffey, Amanda J Chase, Jordan R Stern, Robert W Chang, et al
Vascular & Endovascular Review 2020;3:e08.
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Thuy-My Nguyen, Saissan Rajendran, Kilian GM Brown, Prakash Saha, Raffi Qasabian, et al
Vascular & Endovascular Review 2020;3:e01.
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Gergana Todorova Taneva, Omid Shafe, Giovanni B Torsello, Arne Schwindt, Jamal Moosavi, Parham Sadeghipour, Konstantinos P Donas, et al
Vascular & Endovascular Review 2019;2(1):53–5.
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Yongcheng Xu, Yukun Li
Vascular & Endovascular Review 2019;2(1):38–9.
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Gaetano La Barbera, Giuliana La Rosa, Fabrizio Valentino, Gabriele Ferro, Dario Parsaei, Rosario Lipari, Davide Petrucelli, Francesco Talarico, et al
Vascular & Endovascular Review 2019;2(1):32–7.
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Gergana Todorova Taneva, Georgios Karaolanis, Marco Pipitone, Giovanni Torsello, Konstantinos P Donas, et al
Vascular & Endovascular Review 2019;2(1):45–7.
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Gergana Todorova Taneva, Giovanni Torsello, Konstantinos P Donas, et al
Vascular & Endovascular Review 2019;2(1):9–11.
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Fernando Gallardo Pedrajas, Rubén Rodriguez Carvajal, Alberto Martín-Palanca, Rocio Martin-Palanca Verdes, Teresa Hernández Carbonell, Rocio Lainez Rube, et al
Vascular & Endovascular Review 2018;1(1):33–7.
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Yogeesan Sivakumaran, Manar Khashram, Paul Charles Haggart, et al
Vascular & Endovascular Review 2018;1(1):30–2.
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Manish Mehta, R Clement Darling III, PSK Paty, SP Roddy, PS Kreienberg, KJ Ozsvath, BB Chang, DM Shah, et al
Radcliffe Cardiology 2003:50-3
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