SCREENING FOR ABDOMINAL AORTIC-ANEURYSM IN 295 OUTPATIENTS WITH INTERMITTENT CLAUDICATION

被引:4
作者
ANDERSSON, AP [1 ]
ELLITSGAARD, N [1 ]
JORGENSEN, B [1 ]
FALLENTIN, E [1 ]
KOLLERUP, GB [1 ]
HOLTVEG, H [1 ]
HOLSTEIN, P [1 ]
机构
[1] UNIV COPENHAGEN,BISPEBJERG HOSP,DEPT THORAC SURG L,DIV VASC,DK-1168 COPENHAGEN,DENMARK
来源
VASCULAR SURGERY | 1991年 / 25卷 / 07期
关键词
D O I
10.1177/153857449102500702
中图分类号
R61 [外科手术学];
学科分类号
摘要
In an attempt to establish the prevalence of abdominal aortic aneurysm (AAA) in outpatients with intermittent claudication (IC), 295 patients had ultrasonic screening of their abdominal aorta. There were 123 women and 172 men, median age sixty-eight years range from thirty-eight to eighty-six years. Prevalence of AAA was 5.5% (16/291 patients; examination was inconclusive in 4). All of the AAAs except 1 were found in patients older than sixty years. The prevalence in women was high and there was no significant difference between the sexes in number of AAAs: men, 12/172; women, 4/123 (p > 0.16). Of all patients, 71% were smokers and 13 AAAs were in smokers. No AAAs were found in nonsmokers. 3 AAAs were found among 27 patients with unknown smoking status. The percentage of smokers was about equal in the two sexes. Because only one third of the AAAs were identified by abdominal palpation, it was insufficient as a screening procedure. The authors conclude that patients of both sexes and more than sixty years old with IC should be offered ultrasonic screening for AAA.
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页码:516 / 520
页数:5
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共 14 条
  • [1] Crawford E.S., Stowe C.L., True aneurysms of the aorta and iliac arteries, Vascular Surgery, a Comprehensive Review, pp. 391-455, (1986)
  • [2] Amundsen S., Trippestad A., Viste A., Et al., Abdominal aortic aneurysms—a national multicentre study, Eur J Vasc Surg, 1, pp. 239-243, (1987)
  • [3] Jelnes R., Gaardsting O., Hougaard Jensen K., Et al., Fate in intermittent claudication: Outcome and risk factors, Br Med J, 293, pp. 1137-1140, (1986)
  • [4] Allardice J.T., Allwright G.J., Wafula J., Et al., High prevalence of abdominal aortic aneurysms in men with peripheral vascular disease: Screening by ultrasonography, Br J Surg, 75, pp. 240-242, (1988)
  • [5] Bengtsson H., Ekberg O., Aspelin P., Et al., Abdominal aortic dilatation in patients operated on for carotid artery stenosis, Acta Chir Scand, 154, pp. 441-445, (1988)
  • [6] Bernstein E.F., Chan E.L., Abdominal aortic aneurysm in high-risk patients, Ann Surg, 200, pp. 255-263, (1984)
  • [7] Collin J., Araujo L., Lindsell D., A community screening for abdominal aortic aneurysms, Eur J Vasc Surg, 2, pp. 83-86, (1988)
  • [8] Ohman E.M., Fitzsimons P., Butler F., Et al., The value of ultrasonography in the screening for asymptomatic abdominal aortic aneurysm, Ir Med J, 78, pp. 127-129, (1985)
  • [9] Carlsson J., Sternby N.H., Aortic aneurysms, Acta Chir Scand, 127, pp. 466-473, (1964)
  • [10] Darling R.C., Ruptured arteriosclerotic abdominal aortic aneurysms, Am J Surg, 119, pp. 397-401, (1970)