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AbdominalAorticAneurysm: Screening Final Update Summary: AbdominalAorticAneurysm: Screening - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 188.8.131.528 Last Build: 5/9/2019 1:01:08 PM You are here: Final Summary AbdominalAorticAneurysm: 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 abdominalaorticaneurysm (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: AbdominalAorticAneurysm: Screening . U.S. Preventive Services Task Force. August 2017. https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/abdominal-aortic-aneurysm-screening1 • • • • USPSTF Program Office
PIUR tUS for abdominalaorticaneurysm surveillance and endovascular aneurysm repair endoleak detection PIUR tUS for abdominalaorticaneurysm 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 abdominalaorticaneurysm (AAA) surveillance and endovascular aneurysm (...) vessel by extending regular 2D ultrasound scanners. This imaging can be used for abdominalaorticaneurysm (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
Sex differences in repair rates and outcomes of patients with ruptured abdominalaorticaneurysm Data are conflicting on sex differences in ruptured abdominalaorticaneurysm (rAAA) repair rates and outcomes have rarely been addressed. The aim of this study was to investigate differences in the management and outcome of rAAA in men and women, and to describe time trends over a 15-year interval.Data on patients with rAAA were extracted from the Swedish National Patient Registry and the Cause
A systematic review and meta-analysis of the long-term outcomes of endovascular versus open repair of abdominalaorticaneurysm This study synthesized the literature comparing the long-term (5-9 years) and very long-term (≥10 years) all-cause mortality, reintervention, and secondary rupture rates between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominalaorticaneurysm (AAA).MEDLINE, Embase, and CENTRAL databases were searched from inception to May 2018 for studies
Open versus Endovascular Repair of AbdominalAorticAneurysm. Elective endovascular repair of an abdominalaorticaneurysm results in lower perioperative mortality than traditional open repair, but after 4 years this survival advantage is not seen; in addition, results of two European trials have shown worse long-term outcomes with endovascular repair than with open repair. Long-term results of a study we conducted more than a decade ago to compare endovascular repair with open repair (...) are unknown.We randomly assigned patients with asymptomatic abdominalaorticaneurysms to either endovascular repair or open repair of the aneurysm. All the patients were candidates for either procedure. Patients were followed for up to 14 years.A total of 881 patients underwent randomization: 444 were assigned to endovascular repair and 437 to open repair. The primary outcome was all-cause mortality. A total of 302 patients (68.0%) in the endovascular-repair group and 306 (70.0%) in the open-repair group
Meta-analysis of long-term survival after elective endovascular or open repair of abdominalaorticaneurysm Endovascular aneurysm repair (EVAR) has become the preferred strategy for elective repair of abdominalaorticaneurysm (AAA) for many patients. However, the superiority of the endovascular procedure has recently been challenged by reports of impaired long-term survival in patients who underwent EVAR. A systematic review of long-term survival following AAA repair was therefore undertaken.A
Accuracy evaluations of three ruptured abdominalaorticaneurysm mortality risk scores using an independent dataset To date, no single scoring system for predicting 30-day mortality in patients with ruptured abdominalaorticaneurysms (rAAAs) has been endorsed by any vascular society or proven to definitively predict treatment futility. Three recently developed scoring systems for predicting 30-day mortality in patients with rAAA have been validated by their respective institutional data (...) under the receiver operating characteristic (AUC) curves.Complete data from 38 patients was used for accuracy evaluation. The AUCs for the Dutch Aneurysm Score, Harborview Medical Center score, and Vascular Surgery Group of New England (VSGNE) score were 0.762, 0.792, and 0.860, respectively, for all patients. When evaluating 30-day mortality for patients undergoing ruptured endovascular aneurysm repair, the scores were 0.802, 0.893, and 0.927, respectively. The difference between scores did
Fenestrated endovascular aneurysm repair is associated with lower perioperative morbidity and mortality compared with open repair for complex abdominalaorticaneurysms The Zenith Fenestrated Endovascular Graft (ZFEN; Cook Medical, Bloomington, Ind) has expanded the anatomic eligibility of endovascular aneurysm repair (EVAR) for complex abdominalaorticaneurysms (AAAs). Current data on ZFEN mainly consist of single-institution experiences and show conflicting results. Therefore, we compared (...) with an aortic cross-clamping position that was above at least one renal artery. The primary outcome was perioperative mortality, defined as death within 30 days or within the index hospitalization. Secondary outcomes included postoperative renal dysfunction (creatinine concentration increase of >2 mg/dL from preoperative value or new dialysis), occurrence of any complication, procedure times, blood transfusion rates, and length of stay. To account for baseline differences, we calculated propensity scores
Safety and efficacy of exercise training in patients with abdominalaorticaneurysm: A meta-analysis of randomized controlled trials Low exercise capacity preoperatively leads to increased postoperative complications, perioperative mortality, length of stay, and inpatient costs among patients going through elective abdominalaorticaneurysm (AAA) surgery. Therefore, exercise training may be extremely important for reducing perioperative adverse events in AAA patients. This paper aimed
A systematic review on the quality of life and functional status after abdominalaorticaneurysm repair in elderly patients with an average age older than 75 years Endovascular aneurysm repair (EVAR) and open repair (OR) of abdominalaorticaneurysms (AAAs) are increasingly performed in elderly patients (>75 years of age) with satisfactory results. Quality of life (QOL) is increasingly considered a primary goal of intervention after AAA repair. However, there is currently no consensus on QOL
A systematic review of the impact of preoperative exercise for patients with abdominalaorticaneurysms Available online January 01, 2019 The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article
Fewer wound hernias occur if mesh is used to reinforce abdominalaorticaneurysm surgery Fewer wound hernias occur if mesh is used to reinforce abdominalaorticaneurysm surgery Discover Portal Discover Portal Fewer wound hernias occur if mesh is used to reinforce abdominalaorticaneurysm surgery Published on 18 September 2018 doi: Mesh reinforcement may result in patients developing fewer hernias at the incision site after aorticaneurysm surgery. This type of hernia is a common complication (...) incisions, which are less commonly used in the UK than horizontal incisions. These findings provide evidence to support using mesh in appropriately selected patients who may be at high risk of wound hernia. Share your views on the research. Why was this study needed? An abdominalaorticaneurysm is a swelling or bulge in the wall of the aorta which tends to enlarge, sometimes to the point where the wall ruptures, causing catastrophic bleeding. They are most frequent in men older than 65 years and cause
No clear difference between open and keyhole surgery for the repair of ruptured abdominalaorticaneurysms No clear difference between open and keyhole surgery for the repair of ruptured abdominalaorticaneurysms Discover Portal Discover Portal No clear difference between open and keyhole surgery for the repair of ruptured abdominalaorticaneurysms Published on 3 May 2016 doi: Open and keyhole surgery for repairing a ruptured abdominalaorticaneurysm show similar rates of death at three (...) months, though keyhole surgery leads to slightly shorter hospital stays. Women were found to benefit slightly more from the keyhole technique than men, according to this review and meta-analysis. An abdominalaorticaneurysm is a swelling of the aorta – the body’s main artery. Large aneurysms are rare but if they burst there is catastrophic bleeding. The traditional treatment for abdominalaorticaneurysm is open repair: keyhole repair (also known as endovascular repair or EVAR) is a less invasive
Abdominalaorticaneurysm screening for women is unlikely to be a fair use of NHS resources Abdominalaorticaneurysm screening for women not cost effective Discover Portal Discover Portal Abdominalaorticaneurysm screening for women is unlikely to be a fair use of NHS resources Published on 13 November 2018 doi: Nearly 4,000 women would need screening to prevent one death, and a third of aneurysms detected wouldn’t have influenced the individual woman's health or lifespan. Aneurysm rupture (...) is a life-threatening emergency with low survival. Men are known to be at higher risk of an aneurysm and are offered screening at age 65 to allow early diagnosis of aneurysms large enough to warrant surgical repair. However, a third of deaths from rupture are in women. This NIHR-funded study is the first to model the potential benefits, harms and cost-effectiveness of abdominalaorticaneurysm screening in women. All screening scenarios were estimated to exceed the NHS cost-effectiveness threshold
Endovascular aortic repair (EVAR) surgery more beneficial for ruptured abdominalaorticaneurysms than open repair EVAR surgery more beneficial for ruptured abdominalaorticaneurysms than open repair Discover Portal Discover Portal Endovascular aortic repair (EVAR) surgery more beneficial for ruptured abdominalaorticaneurysms than open repair Published on 28 August 2018 doi: EVAR surgery to repair a ruptured abdominalaorticaneurysm had a slightly better survival rate after three years than (...) open repair surgery. The survival benefit in this trial wasn’t apparent 30 days after surgery, but those having EVAR did recover more quickly and went home sooner. This NIHR-funded study also found that EVAR is likely to be more cost-effective. An abdominalaorticaneurysm is a swelling in the main artery that runs from the heart through the abdomen. If it bursts, there is catastrophic bleeding. The traditional treatment is urgent open surgery to repair the rupture. EVAR is a less invasive strategy
Development of a core outcome set for clinical studies reporting the outcomes of patients undergoing repair of degenerative infrarenal abdominalaorticaneurysms Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content
Abdominalaorticaneurysm: size and risk of rupture - systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation
The content of prehabilitation interventions for patients undergoing surgical repair of abdominalaorticaneurysms and their effect on post-operative outcomes a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility
Endovascular repair (EVAR) is not inferior compared to open surgery in the long- and very-long term outcomes after elective abdominalaorticaneurysm repair: a meta-analysis of randomized trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears