针对性腹腔大动脉动脉瘤查:对大量的爱尔兰三级血管中心进行了回顾性审查
W Ahmed1,2, L Alquraishi3,4, M Power Foley3,4
1Vascular Surgery Department, Beaumont Hospital, Beaumont Road, Beaumont, Dublin, D09V2N0, Ireland. waadahmed21@rcsi.com.
Irish journal of medical science
|November 24, 2025
概括
在高危患者中,针对腹腔大动脉动脉瘤 (AAA) 的机会性查检测到11.1%的检测率. 这种方法是早期发现和干预的合理政策.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 公共卫生 公共卫生
背景情况:
- 腹腔大动脉瘤 (AAA) 尽管在手术和复苏技术方面取得了进展,但死亡率很高.
- 查计划旨在检测完整的AAA,以便及时进行预防性修复.
- 爱尔兰缺乏国家AAA查计划;博蒙特医院采用一种机会主义的,基于风险因素的查方法.
研究的目的:
- 审计一种针对腹腔大动脉动脉瘤 (AAA) 的机会性查计划的有效性.
- 为了确定三级推血管单元内的AAA拾取率.
主要方法:
- 2020年1月至12月期间进行的查双重超声波的回顾性审计.
- 查指示和患者结果的文档.
主要成果:
- 进行了198次查双重超声波,其中大多数是72岁以上的男性 (64.6%).
- AAA检测率为11.1% (198分之22),其中9%需要手术修复.
- 常见的查指示包括动脉样硬化疾病 (65.6%) 和家族病史 (11.6%);45%有吸烟史,59%高血压.
结论:
- 基于动脉样硬化风险因素的机会性AAA查是一种可行的策略.
- 进一步的步骤应该涉及成本效益分析和正式部门查转介标准.
更多相关视频
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
2.3K
05:07Author Spotlight: Development and Characterization of a Mouse Model for Abdominal Aortic Aneurysm
Published on: August 2, 2024
1.8K
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
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...
589
Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
