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Abdominal Aortic Aneurysm

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1. PIUR tUS for abdominal aortic aneurysm surveillance and endovascular aneurysm repair endoleak detection

PIUR tUS for abdominal aortic aneurysm surveillance and endovascular aneurysm repair endoleak detection PIUR tUS for abdominal aortic aneurysm surveillance and endovascular aneurysm repair endoleak detection Medtech innovation briefing Published: 9 December 2019 www.nice.org.uk/guidance/mib200 pathways Summary Summary The technology technology described in this briefing is PIUR tUS (3D tomographic ultrasound). It is for abdominal aortic aneurysm (AAA) surveillance and endovascular aneurysm (...) vessel by extending regular 2D ultrasound scanners. This imaging can be used for abdominal aortic aneurysm (AAA) surveillance and endovascular aneurysm repair (EVAR) endoleak detection and classification. PIUR tUS can be used with any 2D ultrasound device and transducer. It turns the images collected into high-resolution tomographic 3D ultrasound images. The images are viewed and reported in a similar way to other 3D imaging techniques using multi-planar reconstructions and 3D volume, such as CT

2019 National Institute for Health and Clinical Excellence - Advice

2. Complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm

Complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm 78 1 Health technology description Key points ? A single prospective observational study compared 30-day outcomes of fenestrated/branched endovascular aneurysm repair (F/B-EVAR) with open surgery repair (OSR) for the treatment of complex aortic aneurysm anatomies: para/juxta-renal aortic aneurysm (PRAA/JRAA) and thoraco-abdominal aortic aneurysm (TAAA). There was no statistically significant (...) to be comparable in terms of urgency of treatment (elective/non-elective), aneurysm anatomy, risk profile, and other demographics. The systematic reviews reported a 30-day mortality for the treatment of JRAA ranging from 1.4% to 4.1% with F-EVAR, 3.1% to 4.1% with OSR, and 5.3% with chimney-EVAR (Ch-EVAR). What is the clinical and cost-effectiveness of complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm compared with open surgical repair, and how should

2018 Evidence Notes from Healthcare Improvement Scotland

3. Contrast-enhanced ultrasound and/or colour duplex ultrasound for surveillance after endovascular abdominal aortic aneurysm repair: a systematic review and economic evaluation

Contrast-enhanced ultrasound and/or colour duplex ultrasound for surveillance after endovascular abdominal aortic aneurysm repair: a systematic review and economic evaluation Contrast-enhanced ultrasound and/or colour duplex ultrasound for surveillance after endovascular abdominal aortic aneurysm repair: a systematic review and economic evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you (...) requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Current evidence, although heterogeneous, indicates that colour duplex ultrasound may be a safe option for surveillance after endovascular abdominal aortic aneurysm repair, with computed tomography angiography reserved for abnormal/inconclusive cases. {{author

2018 NIHR HTA programme

4. Strategy of endovascular versus open repair for patients with clinical diagnosis of ruptured abdominal aortic aneurysm: the IMPROVE RCT

Strategy of endovascular versus open repair for patients with clinical diagnosis of ruptured abdominal aortic aneurysm: the IMPROVE RCT Strategy of endovascular versus open repair for patients with clinical diagnosis of ruptured abdominal aortic aneurysm: the IMPROVE RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try

2018 NIHR HTA programme

5. Screening women aged 65 years or over for abdominal aortic aneurysm: a modelling study and health economic evaluation

Screening women aged 65 years or over for abdominal aortic aneurysm: a modelling study and health economic evaluation Screening women aged 65 years or over for abdominal aortic aneurysm: a modelling study and health economic evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find (...) the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} The criteria for a screening programme for abdominal aortic aneurysm in women were not met and there was no combination of screening options costing less than £20,000 per QALY gained. {{author}} {{($index , , , , , , , & . Simon G Thompson 1, * , Matthew J Bown 2 , Matthew J Glover 3 , Edmund Jones 1 , Katya L Masconi 1 , Jonathan A Michaels 4 , Janet T Powell 5 , Pinar Ulug 5

2018 NIHR HTA programme

6. Magnetic resonance imaging using ultrasmall superparamagnetic particles of iron oxide for abdominal aortic aneurysm: a risk prediction study

Magnetic resonance imaging using ultrasmall superparamagnetic particles of iron oxide for abdominal aortic aneurysm: a risk prediction study Magnetic resonance imaging using ultrasmall superparamagnetic particles of iron oxide for abdominal aortic aneurysm: a risk prediction study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from (...) the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} MRI using ultrasmall superparamagnetic particles of iron oxide predicted the rate of abdominal aortic aneurysm expansion and the future risk of aneurysm rupture or repair. {{author}} {{($index , , , , , , & . Rachael Forsythe 1 , Olivia McBride 1 , Jennifer Robson 1 , Catriona Graham 2 , Noel Conlisk 3 , Peter Hoskins 1 , Fiona

2018 NIHR HTA programme

7. Complex endovascular aneurysm repair for juxta-renal or thoraco-abdominal aortic aneurysm: Advice Statement

Complex endovascular aneurysm repair for juxta-renal or thoraco-abdominal aortic aneurysm: Advice Statement File name: 20171208 Complex EVAR AS v3.0.docx0 Version: 3.0 Date: 26 April 2018 Produced by: Page: 1 Review date: Advice Statement 006/18 May 2018 What is the clinical and cost- effectiveness of complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm compared with open surgical repair and how should these technologies be delivered (...) -abdominal aortic aneurysm (TAAA) service is currently underway, and will address issues regarding service provision. NHSScotland is required to consider Scottish Health Technology Group (SHTG) advice. Why is SHTG looking at this topic? Complex endovascular aneurysm repair techniques are high cost procedures and there was perceived to be uncertainty in their clinical and cost-effectiveness. There is variation in the use of these procedures between NHS boards and it is not clear which model of delivery

2018 SHTG Advice Statements

8. Abdominal aortic aneurysm screening: ultrasound equipment guidelines

Abdominal aortic aneurysm screening: ultrasound equipment guidelines Abdominal aortic aneurysm screening: ultrasound equipment quality assurance guidelines - GOV.UK GOV.UK uses cookies to make the site simpler. Accept cookies You’ve accepted all cookies. You can at any time. Hide Search Guidance Abdominal aortic aneurysm screening: ultrasound equipment quality assurance guidelines Updated 22 March 2019 Contents © Crown copyright 2019 This publication is licensed under the terms of the Open (...) Government Licence v3.0 except where otherwise stated. To view this licence, visit or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: . Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. This publication is available at https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-ultrasound-equipment-guidance/abdominal-aortic-aneurysm-screening-ultrasound

2019 Public Health England

9. Abdominal aortic aneurysm

Abdominal aortic aneurysm Abdominal aortic aneurysm - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Abdominal aortic aneurysm Last reviewed: February 2019 Last updated: June 2018 Summary Patients are usually asymptomatic and their abdominal aortic aneurysm is detected incidentally. In the minority of patients who experience symptoms, abdominal, back, and groin pain are typical. Ultrasound remains the definitive test (...) % vs. 5.2%) and endovascular aneurysm repair (EVAR) (2.1% vs. 1.3%). Complications of treatment include acute kidney injury, limb ischaemia, spinal cord ischaemia, anastomotic pseudoaneurysm, graft infection, graft limb occlusion, and distal embolisation. Endoleak is a complication of EVAR. Definition Abdominal aortic aneurysm (AAA) is a permanent pathological dilation of the aorta with a diameter >1.5 times the expected anteroposterior (AP) diameter of that segment, given the patient's sex

2018 BMJ Best Practice

10. Controlled hypotension versus normotensive resuscitation strategy for people with ruptured abdominal aortic aneurysm. (PubMed)

Controlled hypotension versus normotensive resuscitation strategy for people with ruptured abdominal aortic aneurysm. An abdominal aortic aneurysm (AAA) is the pathological enlargement of the aorta and can develop in both men and women. Progressive aneurysm enlargement can lead to rupture. The rupture of an AAA is frequently fatal and accounts for the death from haemorrhagic shock of at least 45 people per 100,000 population. The outcome of people with ruptured AAA varies among countries (...) abdominal aortic aneurysm that assessed mortality, presence of coagulopathy, intensive care unit length of stay, and the presence of myocardial infarct and renal failure. High quality studies that evaluate the best strategy for managing haemorrhagic shock in ruptured abdominal aortic aneurysms are required.

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2018 Cochrane

11. Endovascular aneurysm sealing for abdominal aortic aneurysm

Endovascular aneurysm sealing for abdominal aortic aneurysm Endovascular aneurysm sealing for abdominal aortic aneurysm | Guidance | NICE Endovascular aneurysm sealing for abdominal aortic aneurysm Interventional procedures guidance [IPG547] Published date: February 2016 Guidance March 2019: We have withdrawn the guidance because the CE mark for the Nellix Endovascular Aneurysm Sealing (EVAS) System has been withdrawn. Endologix is recalling unused stock. The MHRA recommends (see MDA/2019/002

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

14. Abdominal Aortic Aneurysm Follow-up (Without Repair)

Abdominal Aortic Aneurysm Follow-up (Without Repair) New 2018 ACR Appropriateness Criteria ® 1 AAA Follow-up (Without Repair) American College of Radiology ACR Appropriateness Criteria ® Abdominal Aortic Aneurysm Follow-up (Without Repair) Variant 1: Asymptomatic abdominal aortic aneurysm surveillance (without repair). Procedure Appropriateness Category Relative Radiation Level US duplex Doppler aorta abdomen Usually Appropriate O CTA abdomen and pelvis with IV contrast Usually Appropriate (...) contrast May Be Appropriate O MRI abdomen and pelvis without IV contrast May Be Appropriate (Disagreement) O Aortography abdomen Usually Not Appropriate ??? Radiography chest abdomen pelvis Usually Not Appropriate ??? ACR Appropriateness Criteria ® 2 AAA Follow-up (Without Repair) ABDOMINAL AORTIC ANEURYSM FOLLOW-UP (WITHOUT REPAIR) Expert Panel on Vascular Imaging: Michael Collard, MD, MA a ; Patrick D. Sutphin, MD, PhD b ; Sanjeeva P. Kalva, MD c ; Bill S. Majdalany, MD d ; Jeremy D. Collins, MD e

2019 American College of Radiology

15. Abdominal Aortic Aneurysm: Screening

Abdominal Aortic Aneurysm: Screening Final Update Summary: Abdominal Aortic Aneurysm: Screening - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 1.0.0.308 Last Build: 5/9/2019 1:01:08 PM You are here: Final Summary Abdominal Aortic Aneurysm: Screening Release Date: December 2019 Recommendation Summary Population Recommendation Grade Men aged 65 to 75 years who have ever smoked The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA (...) Summary Clinical summaries are one-page documents that provide guidance to primary care clinicians for using recommendations in practice. This summary is intended for use by primary care clinicians. ( ) Current as of: August 2017 Internet Citation: Final Update Summary: Abdominal Aortic Aneurysm: Screening . U.S. Preventive Services Task Force. August 2017. https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/abdominal-aortic-aneurysm-screening1 • • • • USPSTF Program Office

2019 U.S. Preventive Services Task Force

16. Recommendations on screening for abdominal aortic aneurysm in primary care

Recommendations on screening for abdominal aortic aneurysm in primary care © 2017 Joule Inc. or its licensors CMAJ | SEPTEMBER 11, 2017 | VOLUME 189 | ISSUE 36 E1137 A n abdominal aortic aneurysm (AAA) results from a weaken- ing in a section of the aortic wall in the abdomen, which bulges because of pressure from blood flow to form an aneurysm. 1 The aneurysm may grow and eventually rupture, caus- ing death from hemorrhage. 1 It is estimated that each year, 20?000 Canadians receive a diagnosis (...) - tional review of topic lists of relevant systematic reviews. A search for evidence on overdiagnosis was conducted in MED- GUIDELINE Recommendations on screening for abdominal aortic aneurysm in primary care Canadian Task Force on Preventive Health Care* *The complete list of authors appears at the end of the article. The list of current members of the Canadian Task Force on Preventive Health Care is available at http://canadiantaskforce.ca/about/members. n Cite as: CMAJ 2017 September 11;189:E1137-45

2017 CPG Infobase

17. Endovascular treatment for ruptured abdominal aortic aneurysm. (PubMed)

Endovascular treatment for ruptured abdominal aortic aneurysm. An abdominal aortic aneurysm (AAA) (pathological enlargement of the aorta) is a condition that can occur as a person ages. It is most commonly seen in men older than 65 years of age. Progressive aneurysm enlargement can lead to rupture and massive internal bleeding, which is fatal unless timely repair can be achieved. Despite improvements in perioperative care, mortality remains high (approximately 50%) after conventional open (...) surgical repair. Endovascular aneurysm repair (EVAR), a minimally invasive technique, has been shown to reduce early morbidity and mortality as compared to conventional open surgery for planned AAA repair. More recently emergency endovascular aneurysm repair (eEVAR) has been used successfully to treat ruptured abdominal aortic aneurysm (RAAA), proving that it is feasible in select patients; however, it is unclear if eEVAR will lead to significant improvements in outcomes for these patients or if indeed

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2017 Cochrane

18. Ultrasonography for endoleak detection after endoluminal abdominal aortic aneurysm repair. (PubMed)

Ultrasonography for endoleak detection after endoluminal abdominal aortic aneurysm repair. People with abdominal aortic aneurysm who receive endovascular aneurysm repair (EVAR) need lifetime surveillance to detect potential endoleaks. Endoleak is defined as persistent blood flow within the aneurysm sac following EVAR. Computed tomography (CT) angiography is considered the reference standard for endoleak surveillance. Colour duplex ultrasound (CDUS) and contrast-enhanced CDUS (CE-CDUS) are less (...) invasive but considered less accurate than CT.To determine the diagnostic accuracy of colour duplex ultrasound (CDUS) and contrast-enhanced-colour duplex ultrasound (CE-CDUS) in terms of sensitivity and specificity for endoleak detection after endoluminal abdominal aortic aneurysm repair (EVAR).We searched MEDLINE, Embase, LILACS, ISI Conference Proceedings, Zetoc, and trial registries in June 2016 without language restrictions and without use of filters to maximize sensitivity.Any cross-sectional

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2017 Cochrane

19. Pharmacological treatment of vascular risk factors for reducing mortality and cardiovascular events in patients with abdominal aortic aneurysm. (PubMed)

Pharmacological treatment of vascular risk factors for reducing mortality and cardiovascular events in patients with abdominal aortic aneurysm. Pharmacological prophylaxis has been proven to reduce the risk of cardiovascular events in individuals with atherosclerotic occlusive arterial disease. However, the role of prophylaxis in individuals with abdominal aortic aneurysm (AAA) remains unclear. Several studies have shown that despite successful repair, those people with AAA have a poorer rate (...) in people with abdominal aortic aneurysm (AAA).For this update the Cochrane Vascular Information Specialist (CIS) searched the Cochrane Vascular Specialised Register (14 April 2016). In addition, the CIS searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2016, Issue 3) and trials registries (14 April 2016) and We also searched the reference lists of relevant articles.Randomised controlled trials in which people with AAA were randomly allocated to one prophylactic treatment versus

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2017 Cochrane

20. Laparoscopic surgery for elective abdominal aortic aneurysm repair. (PubMed)

Laparoscopic surgery for elective abdominal aortic aneurysm repair. Abdominal aortic aneurysm (AAA) is an abnormal dilatation of the infradiaphragmatic aorta that is equal to or greater than 30 mm or a local dilatation of equal to or greater than 50% compared to the expected normal diameter of the artery. AAAs rarely occur in individuals under 50 years of age, but thereafter the prevalence dramatically increases with age, with men at a six-fold greater risk of developing an AAA than women (...) of hospital stay.Current evidence suggests that elective laparoscopic AAA repair has a favourable safety profile comparable with that of EVAR, with low conversion rates as well as similar mortality and morbidity rates. As a result, it has been suggested that elective laparoscopic AAA repair may have a role in treating those patients for whom EVAR is unsuitable.To assess the effects of laparoscopic surgery for elective abdominal aortic aneurysm repair.The primary objective of this review was to assess

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2017 Cochrane

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