INFRARENAL ABDOMINAL AORTIC-ANEURYSMS LESS THAN 5 CENTIMETERS IN DIAMETER - THE SURGEONS DILEMMA

被引：30

作者：

GEROULAKOS, G

NICOLAIDES, A

机构：

来源：

EUROPEAN JOURNAL OF VASCULAR SURGERY | 1992年 / 6卷 / 06期

关键词：

ABDOMINAL AORTIC ANEURYSM; NATURAL HISTORY; RUPTURE; CORONARY ARTERY DISEASE;

D O I：

10.1016/S0950-821X(05)80838-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A number of recent studies have brought new data and a better understanding of the risk versus benefit of abdominal aortic aneurysm repair. The present evidence indicates that the risk of rupture for non tender aneurysms less than 5 cm is so low that patients can generally be followed by 6 monthly ultrasound and not undergo immediate operation. Surgery should be the method of choice for most patients where the aneurysm is greater than 5 cm.

引用

页码：616 / 622

页数：7

共 54 条

[1]

OPCS (Office of Population Censuses and Surveys), Mortality statistics, (1989)

[2]

OPCS (Office of Population Censuses and Surveys), Mortality statistics: cause, (1984)

[3]

Silverberg, Lubera, Cancer Statistics 1983, (1983)

[4]

Nevitt, Ballard, Hallett, Prognosis of abdominal aortic aneurysms. A population based study, N Engl J Med, 321, pp. 1009-1014, (1989)

[5]

Johnsson, Nydahl, Olofsson, Et al., Survival in patients with abdominal aortic aneurysms, Comparison between operative and nonoperative management, 4, pp. 497-502, (1990)

[6]

Glimaker, Holmberg, Et al., Natural history of patients with abdominal aortic aneurysm, Eur J Vasc Surg, 5, pp. 125-130, (1991)

[7]

Allardice, Allwright, Wafula, High prevalence of abdominal aortic aneurysm in men with peripheral vascular disease: screening by ultrasonography, Br J Surg, 75, pp. 240-242, (1988)

[8]

Cronenwett, Murphy, Zelenock, Et al., Actuarial analysis of variables associated with rupture of small abdominal aortic aneurysms, Surgery, 98, pp. 472-482, (1985)

[9]

Collin, Aranjo, Walton, How fast do very small abdominal aortic aneurysms grow?, Eur J Vase Surg, 3, pp. 15-17, (1989)

[10]

Scott, Ashton, Kay, Routine ultrasound screening in management of abdominal aortic aneurysm, Br Med J, 296, pp. 1709-1710, (1988)

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