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Revista Colombiana de Cirugía

Print version ISSN 2011-7582On-line version ISSN 2619-6107

Abstract

HERNANDEZ-PENUELA, Mayra Angelica et al. Tools for abdominal aortic aneurysm screening. rev. colomb. cir. [online]. 2024, vol.39, n.2, pp.299-307.  Epub Dec 12, 2023. ISSN 2011-7582.  https://doi.org/10.30944/20117582.2431.

Introduction.

Abdominal aortic aneurysm (AAA) is a dilation of the abdominal aorta greater than 1.5 times the expected diameter. Its prevalence is variable, with reported rates of up to 12.5%. It is considered the cause of death of more than 10,000 people a year in the United States. The objective of this literature review was to describe risk factors and screening tools for AAA.

Methods.

A literature search was conducted using two equations in electronic databases, using terms selected from “Medical Subject Heading” (MeSH) and “Descriptors in Health Sciences” (DeCS). The quality of the studies was evaluated with the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) tool.

Results.

Forty articles were collected and from them the review text was constructed, identifying the risk factors associated with the development of AAA, such as male sex, smoking, high blood pressure, family history and obesity, among others. Diabetes mellitus seems to act as a protective factor. Among the screening instruments, abdominal ultrasound is one of the most used.

Conclusion.

AAA is a multifactorial pathology. Currently, aortic ultrasonography is the method of choice for screening, allowing early detection. Screening for AAA with non-invasive methods, such as ultrasound, is useful especially in areas with a high prevalence of this pathology and in patients with certain risk factors.

Keywords : abdominal aortic aneurysm; aortic diseases; mass screening; ultrasonography; computed tomography angiography; tobacco use disorder.

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