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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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[Who do you screen for an abdominal aortic aneurysm ?]
Samuel Staubli1, Lucia Mazzolai1, Marco Fresa1
1Service d'angiologie, Département cœur-vaisseaux, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Revue Medicale Suisse
|December 8, 2021
Summary
Abdominal aortic aneurysm (AAA) screening is vital for reducing rupture mortality. Current guidelines recommend screening for men using ultrasound, but recommendations for women require further clarification.
Area of Science:
- Vascular Surgery
- Public Health
- Diagnostic Imaging
Background:
- Abdominal aortic aneurysm (AAA) poses a significant public health risk.
- Early detection, treatment, and monitoring of AAA are crucial for preventing rupture and reducing mortality.
- Despite decreasing prevalence, AAA screening in men is recognized as cost-effective.
Purpose of the Study:
- To provide an updated review of abdominal aortic aneurysm screening indications.
- To synthesize the latest international recommendations for AAA screening.
- To address the current ambiguity in screening guidelines for women.
Main Methods:
- Literature review of recent international guidelines and studies on AAA screening.
- Analysis of cost-effectiveness data for AAA screening programs.
- Synthesis of evidence regarding screening modalities, particularly abdominal ultrasound.
Main Results:
- Screening for abdominal aortic aneurysm (AAA) in men is cost-effective and recommended.
- Current data and recommendations for AAA screening in women remain unclear.
- Abdominal ultrasound is identified as the optimal method for AAA screening.
Conclusions:
- Continued emphasis on AAA screening in men is warranted.
- Further research and guideline development are needed for AAA screening in women.
- Standardizing AAA screening protocols, especially using ultrasound, is essential for public health.
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