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Title: Aortic aneurysms - screening, surveillance and referral.
Austin Authors: Robinson, Domenic;Mees, Barend;Verhagen, Hence;Chuen, Jason 
Affiliation: Department of Vascular Surgery, Austin Hospital, Melbourne, Victoria.
Issue Date: 1-Jun-2013
Publication information: Australian Family Physician; 42(6): 364-9
Abstract: Aortic aneurysms are a common finding in elderly patients. Rupture of an aortic aneurysm is a catastrophic event associated with a very high mortality.To review the current literature on aortic aneurysmal disease, including the recommended referral threshold, surveillance guidelines and treatment options.Screening of men aged 65 years and over has been shown to reduce aneurysm related mortality, however, no formal screening guidelines exist in Australia. In addition to the risk of aneurysm expansion and rupture, patients are at increased risk of cardiovascular morbidity and mortality. Small aneurysms should be managed with surveillance and cardiovascular risk factor modification. Large aneurysms should be referred promptly to a vascular surgeon for assessment and repair. Symptomatic and ruptured aneurysms require emergency assessment and treatment. Advances in endovascular techniques enable most patients with aortic aneurysms to be treated with minimally invasive stent grafts, which have lower perioperative complication rates than open repair.
Gov't Doc #: 23781541
Journal: Australian Family Physician
Type: Journal Article
Subjects: Aneurysm, Dissecting.diagnosis.therapy
Aortic Aneurysm, Abdominal.diagnosis.epidemiology.etiology.therapy
Aortic Rupture.diagnosis.mortality.prevention &
Blood Vessel Prosthesis Implantation
Cardiovascular Agents.therapeutic use
Combined Modality Therapy
Endovascular Procedures
Mass Screening
Population Surveillance
Practice Guidelines as Topic
Referral and Consultation
Risk Factors
Appears in Collections:Journal articles

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