Detection of Abdominal Aortic Aneurysm in Patients with Peripheral Artery Disease

作者: A. Barba , L. Estallo , L. Rodríguez , M. Baquer , M. Vega de Céniga

DOI: 10.1016/J.EJVS.2005.05.011

关键词:

摘要: Abstract Objective To describe the prevalence of abdominal aortic aneurysms (AAA) in patients with peripheral artery disease (PAD). Design Observational, descriptive, transverse study. Patients and methods We performed an ultrasound 1190 consecutive lower limb chronic ischemia (1/99–12/04). registered cardiovascular risk factors clinical data for analysis. Results The was inconclusive 24 (2%) patients; 1166 completed They were mostly male (93.7%), age mean 67±9.9 years (37.7–93.4). main were: smoking (80.9%), hypertension (41.7%) hypercholesterolemia (31.4%). AAA 13% (n=151). Only 1.5% (n=17) had a large (>5 cm). clearly more prevalent men (n=148; 13.6%) than women (n=3; 4.1%) (RR 3.47; 95% CI 1.11–10.89; p=0.02). significantly increased age, maximum 17.1% over 75-year-old (p=0.006). tibial higher aortoiliac or femoro-popliteal (p=0.02). Conclusions PAD is much that reported general population. recommend be routinely included study these patients. Over are at particularly high-risk.

参考文章(24)
Kimikazu Hamano, Tao-Sheng Li, Mutsuo Takahashi, Toshiro Kobayashi, Bungo Shirasawa, Hiroshi Ito, Nobuya Zempo, Enhanced Tumor Necrosis Factor- ? Expression in Small Sized Abdominal Aortic Aneurysms World Journal of Surgery. ,vol. 27, pp. 476- 480 ,(2003) , 10.1007/S00268-002-6690-0
S.E Prance, Y.G Wilson, C.M Cosgrove, A.J Walker, D.C Wilkins, S Ashley, Ruptured Abdominal Aortic Aneurysms: Selecting Patients for Surgery European Journal of Vascular and Endovascular Surgery. ,vol. 17, pp. 129- 132 ,(1999) , 10.1053/EJVS.1998.0718
G.E. Morris, C.S.ff. Hubbard, C.R.G. Quick, An abdominal aortic aneurysm screening programme for all males over the age of 50 years European Journal of Vascular Surgery. ,vol. 8, pp. 156- 160 ,(1994) , 10.1016/S0950-821X(05)80451-7
A. Wanhainen, D. Bergqvist, M. Björck, Measuring the Abdominal Aorta with Ultrasonography and Computed Tomography – Difference and Variability European Journal of Vascular and Endovascular Surgery. ,vol. 24, pp. 428- 434 ,(2002) , 10.1053/EJVS.2002.1748
L. G. Kim, R. A. P. Scott, S. G. Thompson, J. Collin, G. E. Morris, G. L. Sutton, N. M. Wilson, , Implications of screening for abdominal aortic aneurysms on surgical workload. British Journal of Surgery. ,vol. 92, pp. 171- 176 ,(2005) , 10.1002/BJS.4807
A.P.M. Boll, J.L. Severens, A.L.M. Verbeek, J.A. van der Vliet, Mass screening on abdominal aortic aneurysm in men aged 60 to 65 years in The Netherlands. Impact on life expectancy and cost-effectiveness using a Markov model. European Journal of Vascular and Endovascular Surgery. ,vol. 26, pp. 74- 80 ,(2003) , 10.1053/EJVS.2002.1773
R. B. Galland, M. J. Simmons, E. P. H. Torrie, Prevalence of abdominal aortic aneurysm in patients with occlusive peripheral vascular disease. British Journal of Surgery. ,vol. 78, pp. 1259- 1260 ,(2005) , 10.1002/BJS.1800781036
G. Moñux, F.J. Serrano, P. Vigil, E.G. De la Concha, Role of HLA-DR in the pathogenesis of abdominal aortic aneurysm. European Journal of Vascular and Endovascular Surgery. ,vol. 26, pp. 211- 214 ,(2003) , 10.1053/EJVS.2002.1897
R. A. P. Scott, A. M. Gudgeon, H. A. Ashton, D. R. Allen, N. M. Wilson, Surgical workload as a consequence of screening for abdominal aortic aneurysm British Journal of Surgery. ,vol. 81, pp. 1440- 1442 ,(2005) , 10.1002/BJS.1800811010