Aortic Aneurysm and Dissection - Related Resources

Cochrane reviews

Prophylactic or early stenting in patients with uncomplicated chronic type B aortic dissection may not have any survival benefits at 2 years compared to best medical treatment with close surveillance Endovascular Versus Conventional Medical Treatment for Uncomplicated Chronic Type B Aortic Dissection.
Endovascular repair of abdominal aortic aneurysm is associated with lower operative mortality, similar mid- and long-term all-cause mortality, and more frequent reinterventions compared with open repair Open Repair Versus Endovascular Repair of Unruptured Abdominal Aortic Aneurysm.
Beta-blocker metoprolol might possibly not improve survival in patients with abdominal aortic aneurysm but the evidence is insufficient Pharmacological Treatment of Vascular Risk Factors in Patients with Abdominal Aortic Aneurysm.
There is insufficient evidence on medical treatments (antibiotics or beta-blockers) for small abdominal aortic aneyrysms Medical Treatment for Small Abdominal Aortic Aneurysms.
Early repair (via open or endovascular surgery) for small abdomial aortic aneurysms (4.0 to 5.5 cm) does not reduce late mortality and appears to increase early mortality (due to 30-day operative mortality with surgery) compared to active ultrasound follow-up. Surgery or Follow-Up for a Small Aneurysm of the Abdominal Aorta.
There is insufficient evidence to make a definitive conclusion about the use of anticoagulant drugs (with or without mechanical devices) for deep vein thrombosis prophylaxis in patients undergoing abdominal aortic surgery Interventions for Preventing Venous Thromboembolism Following Abdominal Aortic Surgery.

Other evidence summaries

Abdominal palpation has moderate sensitivity for detecting an abdominal aortic aneurysm large enough to be referred to surgery, but palpation cannot be used to exclude AAA, especially if rupture is a possibility Diagnosis of Abdominal Aortic Aneurysm by Abdominal Palpation.
Elderly brothers of patients with abdominal aortic aneurysm may be at increased risk for aneurysm The Occurrence of Abdominal Aortic Aneurysms in Close Relatives of Index Patients.

Literature

Schermerhorn M. A 66-year-old man with an abdominal aortic aneurysm: review of screening and treatment. JAMA 2009 Nov 11;302(18):2015-22. [PubMed]
Brinster D Ri , Rizzo R Ji , Bolman R Mi III . Ascending Aortic Aneurysms. Cohn Lh, ed. Cardiac Surgery in the Adult. New York: McGraw-Hill, 2008:1223-1250
Golledge J, Eagle KA. Acute aortic dissection. Lancet 2008 Jul 5;372(9632):55-66. [PubMed]
Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. The UK Small Aneurysm Trial Participants. Lancet 1998 Nov 21;352(9141):1649-55. [PubMed]
Salo JA, Soisalon-Soininen S, Bondestam S, Mattila PS. Familial occurrence of abdominal aortic aneurysm. Ann Intern Med 1999 Apr 20;130(8):637-42. [PubMed]
Hellmann DB, Grand DJ, Freischlag JA. Inflammatory abdominal aortic aneurysm. JAMA 2007 Jan 24;297(4):395-400. [PubMed]

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Aortic Aneurysm and Dissection - Related Resources

Cochrane reviews

Other evidence summaries

Literature