Metcalfe, David, Holt, P. J. and Thompson, M. M.. (2011) The management of abdominal aortic aneurysms. BMJ, Vol.342 . d1384-d1384. ISSN 0959-8138

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Abstract

The UK screening programme for abdominal aortic aneurysms (AAAs) will screen all men aged 65 to facilitate surveillance for small aneurysms or operative repair for large ones Ultrasound surveillance for small aneurysms (<5.5 cm) is safe and cost effective All patients with AAAs have a high cardiovascular risk and warrant aggressive risk factor management, including smoking cessation The risk of aneurysm rupture outweighs that of postoperative morbidity and mortality for aneurysms >5.5 cm in patients with reasonable comorbidity Definitive management requires operative repair; endovascular (in morphologically suitable aneurysms) repair is associated with lower early and midterm mortality than open repair Surgical repair should be performed in high volume centres by experienced practitioners providing endovascular and open repair

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine
Divisions:	Other > Institute of Advanced Teaching & Learning
Library of Congress Subject Headings (LCSH):	Abdominal aneurysm -- Treatment, Abdominal aneurysm -- Epidemiology , Medical screening -- Great Britain
Journal or Publication Title:	BMJ
Publisher:	BMJ
ISSN:	0959-8138
Date:	2011
Volume:	Vol.342
Page Range:	d1384-d1384
Identification Number:	10.1136/bmj.d1384
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Related URLs:	Other
URI:	http://wrap.warwick.ac.uk/id/eprint/40735

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