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Ultrasonography of abdominal aneurysm

2,613 bytes added, 10:30, 4 January 2019
+Indications
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==Abdominal aorta==
 
===Indications===
'''Screening''' guidelines vary, with for example the UK and Sweden recommending screening an ultrasound in all males from age 65,<ref>{{Cite web|url=https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/617871/AAA_draft_short_form_decision_aid.pdf|title=NHS Abdominal Aortic Aneurysm Screening Programme|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref><ref name=Kent2014>{{cite journal | author = Kent KC | title = Clinical practice. Abdominal aortic aneurysms. | journal = The New England Journal of Medicine | volume = 371 | issue = 22 | pages = 2101–8 | date = 27 November 2014 | pmid = 25427112 | doi=10.1056/NEJMcp1401430}}</ref><ref name=Sv2014>{{cite journal|last1=Svensjö|first1=S|last2=Björck|first2=M|last3=Wanhainen|first3=A|title=Update on screening for abdominal aortic aneurysm: a topical review.|journal=European Journal of Vascular and Endovascular Surgery|date=December 2014|volume=48|issue=6|pages=659–67|doi=10.1016/j.ejvs.2014.08.029|pmid=25443524}}</ref> Once an aneurysm is found, further ultrasounds are typically done on a regular basis.<ref name=AFP2006/> the US stating males age 65 to 75 years who have a history of smoking,<ref name=USP2014>{{cite journal | author = LeFevre ML | title = Screening for abdominal aortic aneurysm: U.S. Preventive Services Task Force recommendation statement. | journal = Annals of Internal Medicine | volume = 161 | issue = 4 | pages = 281–90 | date = 19 August 2014 | pmid = 24957320 | doi=10.7326/m14-1204}}</ref> while Australia has no guideline on screening.<ref>{{cite journal|last1=Robinson|first1=D|last2=Mees|first2=B|last3=Verhagen|first3=H|last4=Chuen|first4=J|title=Aortic aneurysms - screening, surveillance and referral.|journal=Australian family physician|date=June 2013|volume=42|issue=6|pages=364–9|pmid=23781541}}</ref>
 
'''Repeat''' ultrasounds should be carried out in those who have an aortic size greater than 3.0&nbsp;cm.<ref name=Brown2013/> Local guidelines apply, but a general recommendation is that in those whose aorta is between 3.0 and 3.9&nbsp;cm it should be every three years, if between 4.0 and 4.4&nbsp;cm every two years, and if between 4.5 and 5.4&nbsp;cm every year.<ref name=Brown2013>{{cite journal |vauthors=Bown MJ, Sweeting MJ, Brown LC, Powell JT, Thompson SG | title = Surveillance intervals for small abdominal aortic aneurysms: a meta-analysis | journal = JAMA | volume = 309 | issue = 8 | pages = 806–13 | date = February 2013 | pmid = 23443444 | doi = 10.1001/jama.2013.950 | url = }}</ref>
 
===Evaluation===
{{Diameters of abdominal aorta}}
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