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. 2016 Feb 23:30:13-15.
doi: 10.1016/j.ejvssr.2016.01.002. eCollection 2016.

The One-Stop Aortic Surveillance Clinic

B Renwick  1 , C J Beattie  2 , K Khan  1 , M Mirghani  1 , R Velu  3 , D B Reid  1 , D J Bain  1
Affiliations

The One-Stop Aortic Surveillance Clinic

B Renwick et al. EJVES Short Rep. .

Abstract

Background: The principle of interval ultrasound surveillance of small abdominal aortic aneurysms (AAA) is well established. The fundamental principle of surveillance is that repair of AAA is a serious undertaking and the risk of the operation outweighs the risk of rupture in aneurysms less than 5.5 cm. Surveillance is well established but requires multiple visits to both the surgical clinic and the ultrasound department.

Report: This report presents a system whereby the vascular surgeon is trained in the process of aortic sonography with a view to one-stop clinic assessment. After training of the main investigators in aortic sonography, the surgeons performed scans on the aortas of 80 consecutive patients and compared the scan result with the subsequent formal scan.

Discussion: Surgical and radiographer scans correlate very closely. It is believed that the one-stop aortic surveillance model is safe, accurate, and improves both the patient journey and clinic throughput.

Keywords: Aneurysm; Aortic; Surveillance; Ultrasound.

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Figures

Figure 1
Figure 1
Bland–Altman plot of sonographer (Son) versus surgical (Vasc) measurements.
See this image and copyright information in PMC

References

    1. The UK Small Aneurysm Trial Participants Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet. 1998;352(9141):1649–1655. - PubMed
    1. Screening men for abdominal aortic aneurysm: 10 year mortality and cost effectiveness results from the randomised Multicentre Aneurysm Screening Study, Multicentre Aneurysm Screening Study Group, BMJ 2009;338:b2307. - PMC - PubMed
    1. Nguyen A.T., Hill G.B., Versteeg M.P., Thomson I.A., van Rij A.M. Novices may be trained to screen for abdominal aortic aneurysms using ultrasound. Cardiovasc Ultrasound. 2013;11(1):42. - PMC - PubMed
    1. Zarrouk M., Holst J., Malina M., Lindblad B., Wann-Hansson C., Rosvall M. The importance of socioeconomic factors for compliance and outcome at screening for abdominal aortic aneurysm in 65-year-old men. J Vasc Surg. 2013;58(1):50–55. - PubMed
    1. Wilmirk T.B., Quick C.R., Hubbard C.S., Kay D.N. Influence of screening on the incidence of ruptured abdominal aortic aneurysm. J Vasc Surg. 1999;30:203–208. - PubMed

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