abdominal aortic aneurysm
Can pre-existing CT or MRI scans be used to improve efficiency and ascertainment in the NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP)?
Introduction Abdominal aortic aneurysms (AAAs) are abnormal dilatations of the aorta below the diaphragm and before its bifurcation into the two common iliac arteries. The majority of AAAs are asymptomatic but, with time, the AAA grows and with it the chance of rupture, at which point it is often fatal.1 Early detection and monitoring improves…
Infection of small abdominal aortic aneurysm following a diagnosis of large vessel vasculitis and initiation of immunosuppression: presentation, diagnosis and management
Abstract Large vessel vasculitis is characterised by inflammation of the aorta and its major branches. This article presents the case of a patient with a 3.9 cm infrarenal abdominal aortic aneurysm at the time of diagnosis with large vessel vasculitis. Three weeks following diagnosis and initiation of immunosuppression, the patient required an emergency open repair…
Understanding variation in the management of AAA in the UK: composition and function of multidisciplinary team meetings and information resources provided to patients
Introduction There is marked national1,2 and international3 variation in abdominal aortic aneurysm (AAA) repair practice and, more specifically, in the proportion of patients undergoing open surgical repair (OSR), endovascular aneurysm repair (EVAR) or no repair (conservative management). In 2022, the UK National Vascular Registry (NVR) reported that 59% of 2,744 patients undergoing repair of infrarenal…
A deformed Lunderquist wire in a percutaneous endovascular aortic aneurysm repair procedure
Abstract Introduction: An endovascular aortic aneurysm repair (EVAR) is a minimally invasive procedure for repairing an abdominal aneurysm. The advantage of this procedure is that EVAR does not require a laparotomy, hence reducing the physical insult to the body with a quicker recovery time for the patient. Percutaneous EVAR (PEVAR) involves accessing the femoral arteries…
Endovascular aneurysm repair using the Gore Excluder Conformable Abdominal Aortic Aneurysm Endoprosthesis with active control system in octogenarians with highly angulated aneurysm neck: a UK single-centre experience
Introduction In March 2020 the National Institute for Health and Care Excellence (NICE) guidelines recommended open repair as the primary treatment option for unruptured abdominal aortic aneurysms (AAAs), while suggesting endovascular aneurysm repair (EVAR) as a viable alternative for individuals with a high anaesthetic risk. Octogenarians constitute a subset of the high-risk population. They exhibit…