Prospective Ultrasound Screening of Men with Cerebrovascular Disease for Abdominal Aortic Aneurysms

V. Vänni, J. Turtiainen, U. Kaustio, J. Toivanen, M. Rusanen, J. Hernesniemi

Research output: Contribution to journalArticleScientificpeer-review

1 Citation (Scopus)

Abstract

Background: The prevalence of abdominal aortic aneurysms is higher in population with other vascular comorbidities, especially among men. Utility of screening among patients with cerebrovascular disease is unclear. Objective: To determine the prevalence of abdominal aortic aneurysm in male patients with diagnosed cerebrovascular disease manifested by transient ischemic attack or stroke. Material and Methods: Between May 2013 and May 2014, all consecutive male patients undergoing carotid ultrasound in single tertiary center with a catchment area of 179,000 inhabitants were evaluated for ultrasound screening of abdominal aortic aneurysm. Abdominal aortic aneurysm was defined as maximum diameter of infrarenal aorta 30 mm or more. Results: Of 105 (n = 105) consecutively evaluated male patients, only 69% (n = 72) were eligible for the study and underwent aortic screening. Reason for ineligibility was most often poor general medical condition (n = 29). Mean age of screened patients was 66 years (SD 9.8 years). Half of the screened patients suffered stroke (n = 36). The incidence of abdominal aortic aneurysm was 5.6% (n = 4). All found abdominal aortic aneurysms were small and did not require immediate surgical intervention. During a follow-up period of over 4 years, none of the aneurysms exhibited tendency for growth. Conclusion: The male population with cerebrovascular disease is comorbid and frail. Only, moderate prevalence of abdominal aortic aneurysms can be found in this subpopulation.

Original languageEnglish
Pages (from-to)395-399
JournalScandinavian Journal of Surgery
Volume110
Issue number3
Early online date8 May 2020
DOIs
Publication statusPublished - 2021
Publication typeA1 Journal article-refereed

Keywords

  • Abdominal aortic aneurysm
  • stroke
  • transient ischemic attack

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • Surgery

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