Chapter 2: Cardiovascular Disorders

ABDOMINAL AORTIC ANEURYSM

Population

• – Men age ≥65 y.

Recommendations

USPSTF 2019

• – Screen once with ultrasound between age 65 and 75 y if they have ever smoked; selectively offer screening if no smoking history.

Society for Vascular Surgery 2018

• – Screen once with ultrasound between age 65 and 75 y if ever smoked or first-degree relative of patient with AAA; extend recommendation >75 y if in “good health” and never screened previously.

Canadian Society for Vascular Surgery 2018

• – Screen once with ultrasound between age 65 and 80 y regardless of smoking history.

European Society for Vascular Surgery 2018

• – Screen once with ultrasound at age 65 y regardless of smoking history.

ACRa/AIUM/SRU 2014

• – Screen with ultrasound: All men ≥65 y, or ≥50 y with family history of aortic and/or peripheral vascular aneurysmal disease.

• – Patients with a personal history of peripheral vascular aneurysmal disease.

Sources

• – USPSTF. JAMA. 2019;322(22):2211-2218.

• – J Vasc Surg. 2018;67(1):2-77.

• – CSVS. 2018 Screening for Abdominal Aortic Aneurysms in Canada: Review and Position Statement from the Canadian Society of Vascular Surgery. 2018.

• – Eur J Vasc Endovasc Surg. ESVS 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. 2018;1-97.

• – ACR-AIUM-SRU. Practice Parameter for the Performance of Diagnostic and Screening Ultrasound Examinations of the Abdominal Aorta in Adults. 2015.

Population

• – Women age ≥65 y.

Recommendation

USPSTF 2019

• – Do not screen if no smoking or family history of AAA.

• – Insufficient evidence to assess screening benefits/harms if no smoking or family history of AAA.

Society for Vascular Surgery 2018

• – Screen once with ultrasound between age 65 and 75 y if ever smoked or first-degree relative of patient with AAA; extend recommendation >75 y if in “good health” and never screened previously.

Canadian Society for Vascular Surgery 2018

• – Screen once with ultrasound between 65 and 80 y if ever smoked or positive cardiovascular disease.

European Society for Vascular Surgery 2018

• – Do not screen.

ACRa/AIUM/SRU 2014

• – Screen with ultrasound at age ≥65 y if positive cardiovascular risk factors, or ≥50 y with family history of aortic and/or peripheral vascular aneurysmal disease.

• – Patients with a personal history of peripheral vascular aneurysmal disease.

Source

• – USPSTF. JAMA. 2019;322(22):2211-2218.

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