Result card

  • CUR15: What are the differences in the management of diagnosed AAA for different stages of disease?
Abdominal Aorta Aneurysm Screening
A0017
English
Guidance

What are the differences in the management of diagnosed AAA for different stages of disease?

Authors: Pseudo218 Pseudo218, Pseudo73 Pseudo73

Internal reviewers: Paolo Giorgi Rossi, Lotte Groth Jensen

Intervention depends on the diameter of the AAA. For smaller aneurysms (3.0 –3.9 cm) with a lower risk of rupture, medical therapy and watchful waiting is recommended (see CUR14). For medium sized aneurysm (4.0 – 5.4 cm) elective surgery is indicated (see CUR14). AAAs that are 5.5 cm or more in diameter the cut-off point of repair is reached {27}. Whether to use endovascular or an open surgical approach should be decided on an individual base. Open surgery is indicated for patients with a low preoperative risk (younger patients). Endovascular surgery is indicated in patients with favourable anatomy and who are at high surgical risk {Baum#Endovascular repair}.

Pseudo218 P, Pseudo73 P Result Card CUR15 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

{27} United KingdomSmall Aneurysm Trial Participants. Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms. TheNew Englandjournal of medicine. 2002 May 9;346(19):1445-52.