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Ultrasonography of abdominal aneurysm

12 bytes added, 20:51, 22 January 2019
m
→‎Evaluation: Specified
An aneurysm is usually defined as an outer<ref group=notes>It is possible to measure the inner diameter if established by local guidelines, but it makes it harder to compare to [[CT of abdominal aneurysm]]</ref> aortic diameter over 3&nbsp;cm (normal diameter of the aorta is around 2&nbsp;cm),<ref name=ACC2005>{{cite journal |vauthors=Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM, White CJ, White J, White RA, Antman EM, Smith SC, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B | title = ACC/AHA Guidelines for the Management of Patients with Peripheral Arterial Disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Associations for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (writing committee to develop guidelines for the management of patients with peripheral arterial disease)—summary of recommendations | journal = J Vasc Interv Radiol | volume = 17 | issue = 9 | pages = 1383–97; quiz 1398 | date = September 2006 | pmid = 16990459 | doi = 10.1097/01.RVI.0000240426.53079.46 }}</ref> or more than 50% of normal diameter.<ref name="SolomonKent2014">{{cite journal|last1=Solomon|first1=Caren G.|last2=Kent|first2=K. Craig|title=Abdominal Aortic Aneurysms|journal=New England Journal of Medicine|volume=371|issue=22|year=2014|pages=2101–2108|issn=0028-4793|doi=10.1056/NEJMcp1401430|pmid=25427112}}</ref>
The proper projection of the aorta for measurement is the sagittal plane (solid dotted yellow line in image below), since the axial plane measurement (dashed red line) may overestimate the diameter when the aorta is not parallel to the skin.
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