Result card

  • CUR5: What are the symptoms at different stages of AAA?
  • CUR20: What is the risk of rupture at different stages of AAA? Jump to
Abdominal Aorta Aneurysm Screening
A0005
English
Guidance

What are the symptoms at different stages of AAA?

Authors: Pseudo218 Pseudo218, Pseudo73 Pseudo73

Internal reviewers: Paolo Giorgi Rossi, Lotte Groth Jensen

Unruptured AAAs are not usually symptomatic. However, symptoms of back pain or abdominal pain, or symptoms due to embolism to the leg can be present. During general clinical examination a pulsatlile abdominal mass may be present {4}. Hypotension may also be present. Other symptoms that are described in the literature may be symptoms from mass effects to adjacent structures (e.g. compression of the ureter or occlusion of a vertebral artery branch) {12}.

Critical
Completely
Pseudo218 P, Pseudo73 P Result Card CUR5 In: Pseudo218 P, Pseudo73 P Health Problem and Current Use of the Technology In: Jefferson T, Vicari N, Frønsdal K [eds.]. Abdominal Aorta Aneurysm Screening [Core HTA], Agenzia nationale per i servizi sanitari regionali (age.na.s), Italy; 2013. [cited 28 May 2023]. Available from: http://corehta.info/ViewCover.aspx?id=106

What is the risk of rupture at different stages of AAA?

Authors: Pseudo218 Pseudo218, Pseudo73 Pseudo73

Internal reviewers: Paolo Giorgi Rossi, Lotte Groth Jensen

The risk of rupture is mainly associated with the diameter of the AAA. The annual risk according to the diameter has been described as follows {4}

Less than 4.0 cm in diameter = less than 0.5% chance of rupture

Between 4.0 to 4.9 cm in diameter = 0.5 to 5% chance of rupture

Between 5.0 to 5.9 cm in diameter = 3 to 15% chance of rupture

Between 6.0 to 6.9 cm in diameter = 10 to 20% chance of rupture

Between 7.0 to 7.9 cm in diameter = 20 to 40% chance of rupture

Greater than or equal to8.0 cm in diameter = 30 to 50% chance of rupture

Critical
Completely
Pseudo218 P, Pseudo73 P Result Card CUR20 In: Pseudo218 P, Pseudo73 P Health Problem and Current Use of the Technology In: Jefferson T, Vicari N, Frønsdal K [eds.]. Abdominal Aorta Aneurysm Screening [Core HTA], Agenzia nationale per i servizi sanitari regionali (age.na.s), Italy; 2013. [cited 28 May 2023]. Available from: http://corehta.info/ViewCover.aspx?id=106

References

{4} Mohler ER. Patient information: Abdominal aortic aneurysm 2011 {cited 2011-12-16}; Available from: http://www.uptodate.com/contents/patient-information-abdominal-aortic-aneurysm

{12} Robbins SL, Cotran RS, Kumar V, Schoen FJ. Robbins pathologic basis of disease. 5th ed/ed.Philadelphia;London: Saunders 1994.