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Updated: Jul 4, 2026

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

Published on: September 8, 2023

Screening for AAA in the USA.

¹Center for Epidemiological and Clinical Research, VA Medical Center, Minneapolis, MN 55417, USA. frank.lederle@va.gov

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society

|June 26, 2008

Summary

Abdominal aortic aneurysm (AAA) screening in the U.S. follows USPSTF guidelines for high-risk men. Broader screening recommendations may jeopardize program effectiveness and cost-efficiency.

Area of Science:

Vascular Surgery
Preventive Medicine
Health Policy

Background:

The U.S. has conducted the largest abdominal aortic aneurysm (AAA) screening programs.
USPSTF recommends one-time ultrasound screening for men aged 65-75 who have ever smoked.
Medicare now covers free AAA screening for smokers and those with a family history.

Purpose of the Study:

To evaluate the current landscape of AAA screening in the U.S.
To assess the impact of guidelines and societal recommendations on screening practices.
To analyze the potential threats to the effectiveness and cost-effectiveness of AAA screening programs.

Main Methods:

Review of USPSTF recommendations and Medicare benefits.
Analysis of AAA screening program data in the U.S.

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Evaluation of recommendations from American vascular societies.

Assessment of evidence supporting broader screening and repair criteria.

Main Results:

AAA screening programs in the U.S. are influenced by USPSTF guidelines and expanded Medicare benefits.
Screening may be underutilized within the recommended target population.
Vascular society recommendations advocate for wider screening and repair than evidence supports.

Conclusions:

Current AAA screening guidelines in the U.S. target specific high-risk populations.
Overly broad recommendations from professional societies may undermine the efficiency of established screening programs.
Careful consideration of evidence is crucial for maintaining the cost-effectiveness of AAA screening.