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Updates on AAA screening and surveillance
Mayo Theivendran1, Jason Chuen2
1MBBS, FRACS (Vascular), FRACS (General), Vascular, Endovascular and Transplant Surgeon, North Shore Private, Sydney, St Vincent@s Private, Sydney, the Northern Beaches Hospital, Sydney, NSW, and Department of Vascular Surgery, Austin Health, Melbourne Vic.
Background:
Screening and diagnostic surveillance of latent conditions have a profound impact on public healthcare expenditure and clinical outcomes. Abdominal aortic aneurysm (AAA) remains one of the hallmark pathologies in vascular surgery and an area of intense research interest.
Objective:
This article is the second of two that will outline current areas of controversy and research in AAA disease in order to support a more detailed understanding of issues in managing patients with this condition, and inform the development of Australasian clinical guidelines and health policy.
Discussion:
Screening and surveillance of AAA should be evidence-based and follow clinical guidelines; however, advances in treatment technology and epidemiological data have influenced results. Goals of care and cost‑effectiveness should play central parts in screening and surveillance strategies.
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