The nature and the natural history of abdominal aortic aneurysms (AAAs) are discussed, together with current treatment options. The place of population screening for AAA is considered, particularly in the light of the Government's recent announcement of a national screening programme. Likely sources of patient complaints concerning the diagnosis, surveillance, treatment and follow-up of AAAs are discussed.
Get full access to this article
View all access options for this article.
References
1.
Office of Population Censuses and Surveys. Mortality Statistics, England and Wales. London: HMSO, 1989
2.
UK Small Aneurysm Trial Participants. Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet1998; 352: 1649–55
3.
EVAR Trial Participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet2005; 365: 2179–86
4.
PrinssenM, VerhoevenELG, ButhJ, A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Eng J Med2004; 351: 1607–18
5.
WilsonJ, JungnerG. Principles and Practice of Screening for Diseases. Public Health Paper No. 34. Geneva: World Health Organization, 1968
6.
BergqvistD, BjorkM, WanhainenA. Abdominal aortic aneurysm—to screen or not to screen. Eur J vasc Endovasc Surg2008; 35: 13–18
7.
ScottRA, WilsonNM, AshtonHA, KayDN. Influence of screening on the incidence of ruptured abdominal aortic aneurysm: 5 year results of a randomized controlled study. Br J Surg1995; 82: 1066–70
8.
HeatherBP, PoskittK, EarnshawJ, WhymanM, ShawE. Population screening reduces the mortality from aortic aneurysms in men. Br J Surg2000; 87: 750–3
9.
AshtonHA, BuxtonMJ, DayNE, The Multicentre aneurysm screening study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial. Lancet2002; 360: 1531–9
10.
LindholtJ, JuulS, FastingH, HennebergE. Screening for abdominal aortic aneurysms: single centre randomised controlled trial. BMJ2005; 330: 750–4
11.
NormanPE, JamrozikK, BrownMML, Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ2004; 329: 1259–62
12.
Multicentre Aneurysm Screening Group. Multicentre aneurysm screening study (MASS): cost effectiveness analysis of screening for abdominal aortic aneurysms based on four year results from randomised controlled trial. BMJ2002; 325: 1135