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The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm  Elliot L. Chaikof, MD, PhD, Ronald L.

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Presentation on theme: "The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm  Elliot L. Chaikof, MD, PhD, Ronald L."— Presentation transcript:

1 The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm  Elliot L. Chaikof, MD, PhD, Ronald L. Dalman, MD, Mark K. Eskandari, MD, Benjamin M. Jackson, MD, W. Anthony Lee, MD, M. Ashraf Mansour, MD, Tara M. Mastracci, MD, Matthew Mell, MD, M. Hassan Murad, MD, MPH, Louis L. Nguyen, MD, MBA, MPH, Gustavo S. Oderich, MD, Madhukar S. Patel, MD, MBA, ScM, Marc L. Schermerhorn, MD, MPH, Benjamin W. Starnes, MD  Journal of Vascular Surgery  Volume 67, Issue 1, Pages 2-77.e2 (January 2018) DOI: /j.jvs Copyright © 2017 Society for Vascular Surgery Terms and Conditions

2 Fig 1 The annual adult per capita cigarette consumption and age-adjusted abdominal aortic aneurysm (AAA) deaths per 100,000 white men by year in the United States. From Lederle FA. The rise and fall of abdominal aortic aneurysm. Circulation 2011;124: Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Influence of smoking (current vs ex/never) on aneurysm enlargement in individual studies and meta-analysis (see primary source for individual study citations). B, Influence of diabetes on aneurysm enlargement in individual studies and meta-analysis (see primary source for individual study citations). MASS, Multicenter Aneurysm Screening Study; PIVOTAL, Positive Impact of Endovascular Options for Treating Aneurysm Early; UKSAT, UK Small Aneurysm Trial. From Sweeting MJ, Thompson SG, Brown LC, Powell JT. Meta-analysis of individual patient data to examine factors affecting growth and rupture of small abdominal aortic aneurysms. Br J Surg 2012;99: Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Meta-regression of abdominal aortic aneurysm (AAA) growth rate estimates by aneurysm diameter (see primary source for individual study citations). The solid line represents the overall regression, the dotted line connects estimates from the same study, and circles have diameters that represent amount of information. Adapted from Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, et al. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health Technol Assess 2013;17:1-118. Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Estimated time to have a 10% probability of attaining an aortic diameter of 5.5 cm in male patients (see primary source for individual study citations). The black diamonds represent 95% confidence intervals and error bars represent 95% prediction intervals. MASS, Multicenter Aneurysm Screening Study; PIVOTAL, Positive Impact of Endovascular Options for Treating Aneurysm Early; UKSAT, UK Small Aneurysm Trial. Adapted from Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, et al. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health Technol Assess 2013;17:1-118. Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Algorithm for management of the patient with a suspected or confirmed ruptured abdominal aortic aneurysm (AAA). CT, Computed tomography; IVs, intravenous lines. Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Referring hospital checklist for the patient with a suspected or confirmed ruptured aneurysm. Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

8 Fig 7 Receiving hospital personnel alert checklist for management of the patient with a suspected or confirmed ruptured aneurysm. Journal of Vascular Surgery  , 2-77.e2DOI: ( /j.jvs ) Copyright © 2017 Society for Vascular Surgery Terms and Conditions


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