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The management of abdominal aortic aneurysms
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Metcalfe, David, Holt, P. J. and Thompson, M. M. (2011) The management of abdominal aortic aneurysms. BMJ, Vol.342 . d1384-d1384. doi:10.1136/bmj.d1384 ISSN 0959-8138.
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Official URL: http://dx.doi.org/10.1136/bmj.d1384
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 | ||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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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 | ||||
Official Date: | 2011 | ||||
Dates: |
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Volume: | Vol.342 | ||||
Page Range: | d1384-d1384 | ||||
DOI: | 10.1136/bmj.d1384 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
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