Screening for abdominal aortic aneurysm: A consensus statement
Screening for abdominal aortic aneurysm: A consensus statement
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DOI：
10.1016/j.jvs.2003.08.019
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发表时间：
2004-01-01
影响因子：
4.3
通讯作者：
Cronenwett, JL
中科院分区：
文献类型：
--
作者：
Kent, KC;Zwolak, RM;Cronenwett, JL
腹主动脉瘤（AAA）的微创技术治疗最近获得了巨大的国家和国际关注。然而，对这项新技术的热情转移了人们对一个同样重要的问题的注意力，即动脉瘤的早期检测或筛查。在过去的20年里，尽管诊断成像和患者的一般医疗护理取得了进展，但在美国医院就诊的AAA破裂患者数量基本没有变化。1每年约有15，000人死于腹主动脉瘤破裂和夹层。2然而，这可能只是冰山一角。据估计，每年有300 000人在得不到医疗的情况下突然死亡。3此外，研究表明，在猝死病例中，AAA破裂的发生率为4%至5%。4-6因此，AAA破裂的年死亡率可能高达30，000。这相当于前列腺癌的年死亡率为32，000人，乳腺癌为42，000人。2上述数据有力地强调了越来越多的人认识到需要一种能够早期发现动脉瘤的策略。
Treatment of abdominal aortic aneurysm (AAA) with minimally invasive techniques has recently gained tremendous national and international attention. However, enthusiasm for this new technique has diverted attention from an equally important issue, that of early detection or screening for aneurysms. Over the past 20 years, despite advances in diagnostic imaging and in general medical care of patients, there has been essentially no change in the number of patients seen in US hospitals with ruptured AAA. 1 Approximately 15,000 persons die of ruptured AAA and dissections each year. 2 However, this may be the tip of the iceberg. It is estimated that 300,000 persons per year die suddenly without receiving medical care. 3 Furthermore, studies have shown that the incidence of ruptured AAA in cases of sudden death ranges from 4% to 5%. 4-6 Thus the yearly death rate from ruptured AAA could be as high as 30,000. This is comparable to a yearly mortality of 32,000 for prostate cancer and 42,000 for breast cancer. 2 The foregoing data strongly emphasize the increasingly recognized 7 need for a strategy that will enable early detection of aneurysms.