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Aneurysm II: Clinical Manifestations and Diagnostic Studies

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...

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Related Experiment Video

Updated: Apr 7, 2026

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Published on: September 8, 2023

Screening for abdominal aortic aneurysm.

Firas F Mussa¹

¹Division of Vascular and Endovascular Surgery and Department of Population Health, New York University School of Medicine, New York, NY.

Journal of Vascular Surgery

|July 15, 2015

Summary

This summary is machine-generated.

Screening elderly men for abdominal aortic aneurysms (AAA) is recommended. However, guidelines vary on screening other groups, imaging, and cost-effectiveness, impacting global AAA screening program adoption.

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Area of Science:

Vascular Surgery
Public Health Screening
Medical Guidelines

Background:

Systematically developed guidelines assist healthcare choices for clinical conditions.
Abdominal aortic aneurysm (AAA) screening in elderly men is widely recommended.
Discrepancies exist in guidelines concerning AAA screening for women, younger populations, and cost-effectiveness.

Purpose of the Study:

To provide an overview of the current status of abdominal aortic aneurysm (AAA) screening programs.
To highlight areas of consensus and divergence in AAA screening guidelines.
To inform countries considering the implementation of AAA screening initiatives.

Main Methods:

Systematic review of existing clinical guidelines for abdominal aortic aneurysm (AAA) screening.
Analysis of recommendations regarding screening criteria, imaging protocols, and target populations.
Comparative assessment of guideline adoption and cost-effectiveness considerations.

Main Results:

Strong consensus supports one-time AAA screening for men aged 65 and older with a history of smoking.
Significant variation exists in recommendations for screening women, younger men, and the optimal imaging surveillance intervals for small AAAs.
The cost-effectiveness of widespread AAA screening programs remains a debated topic in guideline development.

Conclusions:

While AAA screening in elderly men is established, global implementation faces challenges due to inconsistent guidelines.
Further research and harmonization of recommendations are needed to optimize AAA screening programs for broader populations.
Addressing variations in screening protocols and cost-effectiveness is crucial for the successful adoption of national AAA screening initiatives.