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Screening for Peripheral Arterial Disease and Carotid Artery Disease in Patients With Abdominal Aortic Aneurysm

Cleona Gray1, Patrick Goodman2, Paul Cullen1

  • 1Department of Vascular Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.

Angiology
|June 10, 2015
PubMed

Insights

Patients with abdominal aortic aneurysms (AAA) have a high prevalence of carotid artery disease (CAD) and peripheral arterial disease (PAD). Early screening and intensive medical management are crucial for cardiovascular risk reduction in these individuals.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Diagnostic Imaging

Background:

  • Concomitant atherosclerotic disease screening is vital for cardiovascular risk reduction.
  • Abdominal aortic aneurysms (AAA) are associated with systemic atherosclerosis.

Purpose of the Study:

  • To determine the prevalence of carotid artery disease (CAD) and peripheral arterial disease (PAD) in patients with known AAAs.
  • To evaluate the necessity of screening for other atherosclerotic disorders in AAA patients.

Main Methods:

  • Prospective study of 389 patients in an AAA surveillance program (2007-2009).
  • Carotid ultrasound and ankle-brachial index (ABI) measurements were performed.
  • Data analysis included assessment of CAD and PAD prevalence.

Main Results:

  • 30.4% of 332 patients had significant CAD.
  • 45.3% of 289 patients had PAD at rest.
  • 20.4% of 289 patients had both significant CAD and PAD.

Conclusions:

  • Patients with AAAs exhibit a high incidence of concurrent CAD and PAD.
  • Intensive medical optimization is recommended for patients with AAAs due to their high risk of atherosclerotic disorders.

Keywords:
abdominal aortic aneurysmcarotid artery diseaseperipheral arterial diseasescreening

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