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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
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[Ultrasound screening of abdominal aortic aneurysm: Lessons from Vesale 2013]
J P Laroche1, F Becker2, J M Baud3
1Médecine interne et médecine vasculaire, hôpital Saint-Éloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
Journal Des Maladies Vasculaires
|September 16, 2015
Summary
Free ultrasound screening for abdominal aortic aneurysm (AAA) in France detected a 1.7% prevalence. Targeted screening is recommended for men over 60 and female smokers to reduce AAA mortality.
Area of Science:
- Vascular Surgery
- Public Health
- Diagnostic Imaging
Background:
- Abdominal aortic aneurysm (AAA) screening is recommended but optimal strategies are debated.
- French guidelines advocate for targeted opportunistic screening for AAA.
- The Vesalius operation aimed to provide free AAA screening.
Purpose of the Study:
- To evaluate the prevalence of AAA in a screened population.
- To assess the effectiveness of targeted opportunistic screening.
- To inform future AAA screening strategies.
Main Methods:
- A free AAA ultrasound screening program (Vesalius operation) was conducted.
- Target population: men and women aged 60-75, or 50+ with family history.
- Over 7000 individuals were screened across 83 centers.
Main Results:
- A 1.7% prevalence of AAA was found in the screened population.
- Prevalence was higher in men (3.12%) than women (0.27%).
- Detected AAA median diameter was 33 mm; smoking was a key risk factor.
Conclusions:
- Screening is warranted for men aged 60+ (especially smokers) and female smokers.
- Screening considerations for individuals over 75 require further discussion.
- Increased awareness and screening are crucial for reducing AAA-related deaths.
Keywords:
Abdominal aortaAneurysmAnévrismeAorte abdominaleB Mode ultrasoundDépistageScreeningÉchographieMore Related Videos
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