Información del artículo
Resumen
Objetivos
Conocer la prevalencia de los aneurismas de aorta abdominal infrarrenal (AAA) en pacientes con isquemia crónica de extremidades y comprobar si la isquemia crónica constituye un factor de riesgo para el desarrollo de los AAA
Pacientes Y MétodosSe han estudiado dos grupos: el primero (grupo estadio), formado por 500 varones de 55 años con isquemia crónica de las extremidades y el segundo (grupo control), formado por 200 pacientes con las mimas edades y con patología prostática pero sin clínica isquémica. A los pacientes de ambos grupos se les realizó un estudio ecográfico abdomino-pélvico para determinar el diámetro aórtico
ResultadosEntre los dos grupos no se encontraron diferencias significativas en lo que respecta a las características demográficas ni en los factores de riesgo cardiovascular. Sin embargo, la prevalencia de los AAA en el grupo a estudio fue del 14,2%, mientras que en el grupo control fue de 4,7%, siendo esta diferencia estadísticamente significativa
ConclusionesLa prevalencia de los AAA entre los pacientes varones, mayores de 55 años y con isquemia crónica de las extremidades y en nuestro medio, es significativamente mayor que en la población general porlo que se considera un “grupo de riesgo” para esta patología
Summary
Objective
To Know the prevalence of infrarenal abdominal aortic aneurysms (AAA) in patients suffering of chronic limb ischaemia and to check if chronic limb ischaemia is a risk factor for the development of AAA
Patients And MethodTwo groups have been studied: First of them (study group) have been make up with five hundred 55 years old me with chronic ischaemia of lower limbs, and the second (control group) have been constituted with 200 men of the sane age and prostatic pathology but without ischaemic clinic. An abdominal and pelvic echographic study was performed in patients of both groups to value the aortic diameter
ResultsThere were no statistical difference between both groups in terms of demographic characteristics nor cardiovascular risk factors. However, the AAA prevalence was of 14,2% in the study group while in control group was of 4,7%. This difference was statistically significative
ConclusionsIn our environment, prevalence of AAA between men older than 55 years is significatively major than in general population. For this, chronic ischaemia of lower limbs can be considered a risk factor in the development of AAA
Laburpena
Helburuak
Gorputz-adarretakoiskemia kronikodun pazienteengan dagoen giltzurrunmailaren peko aorta-aunerisma abdominalen (AAA) prebalentzia ezagutzea eta iskemia kronikoa AAAk garatzeko arrisku-faktorea den aztertzea
Pazienteak Eta MetodoakBi talde aztertudira: lehenengoa (azterketa-taldea) gorputzadarretako iskemia kronika duten 55 urteko 500 gizonezkok osatzen dute, eta bigarren (kontrol-taldea) klinika iskemikorik ez baina prostatako patologia duten adin bereko 200 pazientek. Bi taldeetako pazienteei ekografia bidezko azterketa abdominopelbikoaegin zitzaien aortaren diametroa zehazteko
EmaitzakBi taldeen artean ez zen alde esanguratsurik aurkitu ezaugarri demografikoei nahiz arrisku-faktore kardiobaskularrei dagokienez. Halere, AAAen prebalentzia %14,2koa izan zen azterketa-taldean eta %4,7koa kontrol-taldean; aldea, kasu honetan, estadistikoki esanguratsua da
OndorioakAAAen prebalentzia, gure ingurunean, gorputz-adarretako iskemia kronikoa duten 55 urte baino gehiagoko paziente gizonezkoengan nabarmen hadiagoada populazio orokorrean baino, eta, ondorioz, hura arrisku-taldea da aipatutako patologiari dagokionez
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Bibliografía
[1.]
Natali J. Aneurysmes de l'aorte abdominale. Encycl Med Chir; París, 4–1978, Coeur 11310-20
[2.]
M.D. Tilson, H.C. Stasel.
Differences in results for aneurysms Vs occlusive disease after aortic bifurcation grafts. Results 100 elective grafts.
Arch Surg, 115 (1980), pp. 1173-1175
[3.]
D.C. Ber ridge, C.D.M. Griffith, S.S. Amar, B.R. Hopkinson, G.S. Makin.
Screening for clinically unsuspected abdominal aortic aneurysms in patients with peripheral vascular disease.
Eur J Vasc surg, 3 (1989), pp. 421-422
[4.]
S.T. MacSweeney, M. O'Meara, C. Alexander, M.K. O'Malley, J.T. Powell, R.M. Greenhalgh.
High prevalence of unsuspected abdominal aortic aneurysm in patients with confirmed syntomatic peripheral or cerebral disease.
Br J Surg, 80 (1993), pp. 582-584
[5.]
R. Hassen-Khodja, P. Le Bas, Pittaluga, M. Batt.
Abdominal aortic aneurysm and lower-limb occlusive arterial disease.
J Cardiovasc Surg (Torino), 39 (1998), pp. 141
[6.]
J.T. Allardice, G.J. Allwright, J.M.C. Wafula, A.P. Wyat.
High prevalence of abdominal aortic aneurysm in men with peripheral vascular disease. Screening by ultrasonography.
Br J Surg, 75 (1988), pp. 240-242
[7.]
H.A. Al-Zahrani, M. Rawas, A. Maimani, M. Gasab, B.A. Aba Al Khail.
Screening for abdominal aortic aneurysm in the Jeddah area, western Saudi Arabia.
Cardiovasc Surg, 4 (1996), pp. 87-92
[9.]
H.G. Alcorn, S.K. Wolfson, K. Sutton-Tirrell, L.H. Kuller, D. O'Leary.
Risk factors for abdominal aortic aneurysms in older adults enrolled in the cardiovascular health study.
Arterioscler Thromb Vasc Biol, 16 (1996), pp. 963-970
[11.]
D.S. Quill, M.P. Colgan, D.S. Sumner.
Ultrasonic screening for the detection of abdominal aortic aneurysms.
Surgical Clinics of North America, 69 (1989), pp. 713-720
[12.]
J.E. Estes.
Abdominal aortic aneurysm: a study of 102 cases.
Circulation, 2 (1950), pp. 258-260
[13.]
J.M.G. Wilson, G. Jungner.
Principles and practice of screening for disease. Public Health paper. Geneve.
World Health Organisation, (1968),
[14.]
K.A. Wilson, K.R. Woodburn, C.V. Ruckley, F.G. Fowkes.
Expansion rates of abdominal aortic aneurysm: current limitations in evaluation.
Eur J Vasc Endovasc Surg, 3 (1997), pp. 521-626
[15.]
Y.G. Wolf, S.M. Otis, R.B. Schwend, E.F. Bernstein.
Screening for abdominal aortic aneurysms during lower extremity arterial evaluation in the vascular laboratory.
J Vasc Surg, 22 (1995), pp. 417-423
[16.]
Scott Rap, N.M. Wilson, H.A. Ashton, D.N. Kay.
Influence of screening on the incidence of ruptured abdominal aortic aneurysm: 5 years results of a randomized controlled study.
Br J Surg, 82 (1995), pp. 1066-1070
[17.]
A.J. Lee, F.G.R. Fowkes, M.N. Carson, G.C. Leng.
Smoking, atherosclerosis and risk of abdominal aortic aneurysm.
Eur Heart J, 18 (1997), pp. 671-676
[18.]
J.B. Chang, T.A. Stein, J.P. Liu, M.E. Dunn.
Risk factors associated with rapid growth small abdominal aortic aneurysms.
Surgery, 121 (1997), pp. 117-122
[19.]
P.C. Spittell, J.E. Ehrsam, L. Anderson, J.B. Seward.
Screening for abdominal aortic aneurysm during transthoracic echocardiography in a hypertensive patient population.
J Am Soc Echocardiogr, 10 (1997), pp. 722-727
[20.]
L. Bergersen, M.S. Kiernan, G. MacFarlane, T.D. Case, M.A. Ricci.
Prevalence of abdominal aortic aneurysms in patients undergoing coronary artery bypass.
Ann Vasc Surg, 12 (1998), pp. 101-105
[21.]
L. Lindholm, G. Ejlertsson, L. Forsberg, L. Norgren.
Low prevalence of abdominal aortic aneurysm in hypertensive patients.
Acta Med Scand, 218 (1985), pp. 305-310
[22.]
Scott Rap, H.A. Ashton, D.N. Kay.
Routine ultrasound screening in management of abdominal aortic aneurysm.
Bmj, 296 (1988), pp. 1709-1710
[23.]
A.V. Sterpetti, R.D. Schultz, R.J. Feldaus, S.E. Cheng, D.J. Peetz.
Abdominal aortic aneurysm in elderly patients: selective management based on clinical status and aneurysmal expansion.
Am J Surg, 150 (1985), pp. 772-776
[24.]
C.B. Ernst.
Abdominal aortic aneurysm.
N Engl J Med, 3 (1993), pp. 1167-1171
[25.]
Shapira OM, Pasik S, Wasserman JP, Barzilai N, Mashiah A. Ultrasound screening for abdominal aortic aneurysms in patients with atherosclerotic peripheral vascular diseaes
[26.]
G.M. Grimshaw, M.F. Docker.
Accurate screening for abdominal aortic aneurysms.
Cli Phys Physiol Meas, 13 (1992), pp. 135-138
[27.]
E.K. Yucel, D.J. Fillmore, T.A. Knox, A.C. Waltman.
Sonographic measurement of abdominal aortic diameter: Interobserver variability.
J Ultrasound Med, 10 (1991), pp. 681-683
[28.]
R.C. Darling, C.R. Messina, R.N. Brewster, L.W. Ottinger.
Autopsy study of unoperated abdominal aortic aneurysm.
Circulation, 56 (1977), pp. 161-164
[29.]
J. Collin, L. Araujo, J. Walton, D. Lindsell.
Oxford screening programme for abdominal aortic aneurysm in men aged 65 to 74 years.
Lancet, 10 (1988), pp. 613-615
[30.]
M.E. Lucarotti, Shawe, B.P. Heather.
Distribution of aortic diameter in a screened population.
Br J Surg, 79 (1992), pp. 641-642
[31.]
R.A. Scott, H.A. Ashton, D.N. Kay.
Abdominal aortic aneurysm in 4237 screened patients: Prevalence, development and management over 6 years.
Br J Surg, 78 (1991), pp. 1122-1125
[32.]
J. Collin.
Epidemiological aspects of abdominal aortic aneurysm.
Eur J Vasc Surg, 4 (1990), pp. 113-116
[33.]
T.J. O'Kelly, B.P. Heather.
General practice based population screening for abdominal aortic aneurysms: a pilot study.
Br J Surg, 76 (1989), pp. 479-480
[34.]
F.C. Smith, G.M. Grimshav, I.S. Paresson, C.P. Sherman, J.D. Hamer.
Ultrasonographyc screening for abdominal aortic aneurysm in an urban community.
Br J Surg, 80 (1993), pp. 1406-1409
[35.]
G.J. Akkersdijk, J.B. Puylaert, A.C. DeVries.
Abdominal aortic aneurysm as an incidental finding in abdominal ultrasonography.
Br J Surg, 78 (1991), pp. 1261-1263
[36.]
D.E. Khoo, H. Ashton, R.A. Scott.
Is screening once at age 65 an effective method for detection of abdominal aortic aneurysms?.
J Med Screen, 1 (1994), pp. 223-225
[37.]
G. Simoni, C. Pastorino, R. Perrone, A. Ardia, R. Gianrossi, F. Decian, et al.
Screening for abdominal aortic aneurysms and associated risk factore in a general population.
Eur J Vasc Endovasc Surg, 10 (1995), pp. 207-210
[38.]
G.E. Morris, C.S. Hubbard, C.R. Quick.
An abdominal aortic aneurysm screening programme for all males over the age 50 years.
Eur J Vas Surg, 8 (1994), pp. 156-160
[39.]
F.A. Lederle, G.R. Johnson, S.E. Wilson, E.P. Chute, F.N. Littooy, D. Bandyk, et al.
Prevalence and associations of abdominal aortic aneurysm detected through screening. Aneurysm Detection and Management (ADAM) Veterans affairs cooperative study group.
Ann Inter Med, 126 (1997), pp. 441-449
[40.]
J.M. Estevan, A. Valle, A. Menéndez.
Epidemiología de los aneurismas de aorta abdominal.
Med Clin, 100 (1993), pp. 464-468
[41.]
K.D. Krohn, G. Kullmann, K. Kvernebo, L. Rosen, A. Kroese.
Ultrasonographyc screening for abominal aortic aneurysm.
Eur J Surg, 158 (1992), pp. 527-530
[42.]
N.D. Derbyshire, D.R. Lindsell, J. Collin, T.S. Creasy.
Opportunistic screening for abdominal aortic aneurysm.
J Med Screen, 1 (1994), pp. 220-222
[43.]
M. Lewis, P. Hoddinott, A. Jackson.
Opportunistic screening for abdominal aortic aneurysm.
J Med Screen, 2 (1995), pp. 58-59
[44.]
S.M.A. Phillips, D. King.
The role of ultrasound to detect aortic aneurysms in urological patientes.
Eur J Vasc Surg, 7 (1993), pp. 298-330
[45.]
H.P. Forman, J.P. Heiken, J.A. Brink, H.S. Glazer, L.A. Fox, B.L. MacClennan.
Ct Screening for comorbid disease in patients with prostatic carcinoma: is it cos-efective?.
Ajr, 162 (1994), pp. 1.125-1.128
[46.]
A. Brivady, B. Normand, R. Fabry, P. Pochon, J. Cheynel.
Prospective study by ultrasonograpy of abdominal aortic in atherosclerosis of the lower limbs. The rol of atheromatous disease.
Vasc Surg, 31 (1997), pp. 51-65
[47.]
J.D. Holdsworth.
Screening for abdominal aortic aneurysm in Northumberland.
Br J Surg, 81 (1994), pp. 710-712
[48.]
H. Takei, S. Ishikawa, A. Otaki, K. Sakata, M. Aizaki, M. Sato, M. Suzuki, et al.
Screening for abdominal aortic aneurysm and occlusive peripheral vascular disease in Japanese residents.
Surg Today, 25 (1995), pp. 608-611
[49.]
G. Simoni, C. Pastorino, R. Perrone, A. Ardia, R. Gianrossi, F. Decian, et al.
Screening for abdominal aortic aneurysms and associated risk factore in a general population.
Eur J Vasc Endovasc Surg, 10 (1995), pp. 207-210
[50.]
J.S. Lindholt, H. Fasting, E.W. Henneberg, S. Juul.
Forelobige resultater of screening for abdominal aortaaneurysme i Viborg Amt.
Ugeskr Laeger, 159 (1997), pp. 1.920-1.923
[51.]
B. Galland, B.J. Simmons, P.H. Torrie.
Prevalence of abdominal aortic aneurysm in patients with occlusive peripheral vascula disease.
Br J Surg, 78 (1991), pp. 1.259-1.260
[52.]
A.A. Spiridonov, S.R. Omirov.
Selektiunyi skirining anevrizm briushnoi aorty s primeneniem klinicheskogo osmotra i ul'trazvukovogo skanirovaniia.
Grud Serdechnososudistaia Khir, 9 (1992), pp. 33-36
[53.]
S.T. MacSweeney, M. O'Meara, C. Alexander, M.K. O'Malley, J.T. Powell, R.M. Greenhalgh.
High prevalence of unsuspected abdominal aortic aneurysm in patients with confirmed syntomatic peripheral or cerebral disease.
Br J Surg, 80 (1993), pp. 582-584
[54.]
T.D. Arnell, C. De Virgilio, C. Donayre, E. Grant, J.D. Baker, R. White.
Abdominal aortic aneurysm screening in elderly males whith atherosclerosis: the value of physical exam.
Am Surg, 62 (1996), pp. 861-864
[55.]
M. Ögren, H. Bengtsson, D. Berqvist, O. Ekberg, B. Hedblad, L. Janzon.
Prognosis in elderly men screening-detected abdominal aortic aneurysm.
Eur J Vasc Endovasc Surg, 62 (1996), pp. 861-864
[56.]
J.S. Lindholt, E.W. Hennberg, H. Fasting, S. Juul.
Maas or high risk screening for abdominal aortic aneurysm.
Br J Surg, 84 (1997), pp. 40-42
[57.]
A.V. Sterpetti, R.D. Schultz, R.J. Feldaus, S.E. Cheng, D.J. Peetz.
Factors influencing enlargement rate of small abdominal aortic aneurysms.
J Surg Res, 43 (1987), pp. 211-219
[58.]
H. Bengtsoon, S. Bergqvist, B. Lindgren, U. Persson.
Ultrasonographyc screening for abdominal aortic anaurysm: analysis of surgical decisions for cost-sffectiveness.
World J Surg, 13 (1989), pp. 266-271
[59.]
H. Bengtsson, D. Bergqvist, O. Ekberg, L. Janzon.
A population based screening of abdominal aortic aneurysms (AAA).
Eur J Vasc Surg, 5 (1991), pp. 53-57
[60.]
J.L. Cronenwett, T.F. Murphy, G.B. Zelenock, W.M. Whitehouse, S.M. Lindenauer, L.M. Graham, L.E. Quint, et al.
Actuarial analysis of variables associated with rupture of small abdominal aortic aneurysms.
Surgery, 98 (1985), pp. 472-783
[61.]
S.T.R. MacSweeney, J.T. Powell, R.M. Greenhalgh.
Abdominal aortic aneurysms grow more quickly in smokers.
Br J Surg, 81 (1994), pp. 614
[62.]
D.P. Strachan.
Predictors fo death from aortic aneurysm among midle-aged men: Whitehall study.
Br J Surg, 78 (1991), pp. 401-404
[63.]
P.J. Franks, R.J. Edwars, R.M. Green halgh, J.T. Powell.
Risk factors for abdominal aortic aneurysms in smokers.
Eur J Vasc Endovasc Surg, 11 (1996), pp. 487-492
[64.]
L. Bergersen, M.S. Kiernan, G. MacFarlane, T.D. Case, M.A. Ricci.
Prevalence of abdominal aortic aneurysms in patient undergoing coronary artery bypass.
Ann Vasc Surg, 12 (1998), pp. 101-105
[65.]
J. Foster, B. Bolansky, W. Gobbe, et al.
Comparative study of elective resection and expectant treatment of abdominal aortic aneurysms.
Surg Gynecol Obst, 129 (1969), pp. 1-9
[66.]
A.B. Wilmink, C.R. Quick.
Epydemiology and potential for prevention of abdominal aortic aneurysm.
Br J Surg, 85 (1988), pp. 155-162
[67.]
M. Graham, A. Chan.
Ultrasound screening for clinically ocult abdominal aortic aneurysm.
Can Med Assoc J, 138 (1988), pp. 627-629
[68.]
P.I.M. Allen, D. Goyrevitch, J. MacKinley, D. Tudway, M. Goldmam.
Population screening for aortic aneuysms.
Lancet, 26 (1987), pp. 736
[69.]
A. Twomey, E.M. Twomey, R.A. Wilkins, J.D. Lewis.
Unrecognized aneurysmal disease in male hypertensive patients.
Br J Surg, 71 (1984), pp. 307-308
[70.]
M.C. Sowter, M.H. Lewis.
Ultrasonographic screening for abdominal aortic aneurysm in an urban community.
Br J Surg, 81 (1994), pp. 472
[71.]
F.A. Lederle, J.M. Walker, D.B. Reinke.
Selective screening for abdominal aortic aneurysms with physical examination and ultrasound.
Arch Intern Med, 148 (1988), pp. 1753-1756
[72.]
G.M. Grimshaw, J.M. Thompson, J.D. Hamer.
Prevalence of abdominal aortic aneurysm associated with hypertension in an urban population.
J Med Screen, 1 (1994), pp. 226-228
[73.]
I.M. Williams, O.D. Hughes, E. Townsend, R.K. Winter, M.H. Lewis.
Prevalence of abdominal aortic aneurysm in an hypertensive population.
Ann R Coll Surg Engl, 78 (1996), pp. 501-504
[74.]
G. Simon, D. Nordgren, S. Connelly, P.J. Shultz.
Screening for abdominal aortic aneurysms in a hypertensive patient population.
Arch Inter Med, 156 (1996), pp. 2081-2084
[75.]
E. Mattes, T.M. Davis, D. Yang, D. Ridley, H. Lund, P.E. Norman.
Prevalence of abdominal aoertic aneurysms in men with diabetes.
Med J Aust, 166 (1999), pp. 630-633
[76.]
A. Twomey, E.M. Twomey, R.A. Wilkins, J.D. Lewis.
Unrecognized aneurysmal disease in male hypertensive patients.
Int Angiol, 5 (1986), pp. 269-273
[77.]
H.M. Lazarus.
Abdominal aortic aneurysm. Incidence in a hospital population at risk.
West J Med, 157 (1992), pp. 527-529
[78.]
J.S. Lindholt, E.W. Hennenberg, H. Fasting, S. Juul.
Hospital based screening of 65-73 year old men for abdominal aortic aneurysms in the country of Viborg, Denmark.
J Med Screen, 3 (1996), pp. 43-46
[79.]
F.A. Lederle, J.M. Walker, D.B. Reinke.
Selective screening for abdominal aortic aneurysm with physical examination and ultrasound.
Arch Intern Med, 148 (1988), pp. 1753-1756
[80.]
EPOC.
Clasificación y estrategias. Conclusiones de un grupo de trabajo multidisciplinal.
Ediciones Edipharma. Barcelona, (1997),
[81.]
C.J.H.M. Van Laarhoven, A.C.W. Borstlap, D.P. Van Berge Henegouwen, F.M.L.H.G. Palmen, M.C.P.J. Verpalen, M.C. Schoemaker.
Chronic obstructive pulmonary disease and abdominal aortic aneurysms.
Eur J Vasc Surg, 7 (1993), pp. 386-390
[82.]
G. Simoni, F. Deciasn, A. Baiardi, V. Bachi, J.R. Cittadini, C. Pastorino, R. Perrone, et al.
Screening per gli aneurisme dell'aorta abdominale nella polazione generale. Risultati preliminari.
Minerva Cardioangiol, 42 (1994), pp. 403-409
[83.]
J.F. Díez Manrique, C. Peña Martín.
Uso, abuso y dependencia del alcohol en Cantabria.
Psiquiatría Biológica, 5 (1998), pp. 13-23
[84.]
S.W. Cheng, M. Fok, J. Wong.
Peptic ulcers and abdominal aortic aneurysms.
J Gastroenterol Hepatol, 7 (1992), pp. 302-304
[85.]
E.F. Bernstein, E.L. Chan.
Abdominal aortic aneurysm in high-risk patients. Outcome of selective management based on size and expansion rate.
Ann Surg, 9 (1984), pp. 255-262
[86.]
M.P. Nevitt, D.J. Ballard, J.W. Hallet.
Prognosis of abdominal aortic aneurysm. A population based study.
N Engl J Med, 321 (1989), pp. 1009-1014
[87.]
R. Limet, N. Sakalihassan, A. Albert.
Determination of the expansion rate and incidence of rupture of abdominal aortic aneurysms.
J Vasc Surg, 14 (1991), pp. 540-546
[88.]
M.J. Perko, T.V. Schoeder, P.S. Olsen, L.P. Jensen, J.E. Lorentzen.
Natural history of abdominal aortic aneurysms: A survey of 63 patients treated nonoperatively.
Ann Vasc Surg, 7 (1993), pp. 113-116
[89.]
P.M. Brown, R. Pattenden, C. Vernooy, D.T. Zelt, J.R. Gutelius.
Selective management of abdominal aortic aneurysms in a prospective measurement program.
J Vasc Surg, 23 (1996), pp. 213-220
[90.]
H. Bengtsson, D. Bergqvist.
Ruptured abdominal aortic aneurysm: A population-based study.
J Vasc Surg, 18 (1993), pp. 74-80
[91.]
P.A. Stonebridge, T. Draper, J. Kelman, J. Howlett, P.L. Allan, R. Prescott, C.V. Ruckley.
Growth rate of infrarrenal aortic aneurysms.
Eur J Vasc Endovasc Surg, 11 (1996), pp. 70-73
[92.]
E.M. Guirguis, G.C. Barber.
The natural history of abdominal aortic aneurysms.
Am J Surg, 162 (1991), pp. 481-484
[93.]
F. Cronenwett, D.A. Katz.
Cost-effectiveness of operating on small abdominal aortic aneurysms.
Seminars in Vascular Surgery, 8 (1995), pp. 124-134
[94.]
I. Gore, A.E. Hirst.
Arteriosclerotic aneurysms of the abdominal aorta: A review.
Prog Cardiovasc Dis, 16 (1973), pp. 113-149
[95.]
G. Kullmann, T. Wolland, C.D. Krohn, L.E. Staxrud, A. Kroese, K. Kvernebo.
Ultrasonography for early diagnosis of abdominal aortic aneurysm.
Tidsskr Nor Laegefore, 112 (1992; May 30), pp. 1825-1826
[96.]
H. Glimaker, L. Holmberg.
Hatural history of patients with abdominal aortic aneurysm.
Eur J Vasc Surg, 5 (1991), pp. 125-130
[97.]
G.J.C. Harris, H.A. Ashton, D.R. Allen, R.A.P. Scott.
Abdominal aortic aneurysm expansin and rupture rates: 7 year follow-up of a whole population detected by screening.
Br J Surg, 84 (1997), pp. 566
[98.]
J.W. Hallett, D. Ballard, K.J. Cherry, P. Gloviczki, P.C. Pairolero.
Small abdominal aortic aneurysms: A 33 years community experience.
J Cardiovasc Surg, 31 (1990), pp. 403
[99.]
M.L. Gliedman, W.P. Ayers, B.L. Vestal.
Aneurysms of the abdominal aorta and its branches: A study of untreated patients.
Ann Surg, 146 (1957), pp. 207-214
[100.]
A.K. Samy, G. MacBain.
Abdominal aortic aneurysm: Ten years hospital population study in the city of Glasgow.
Eur J Vasc Surg, 7 (1993), pp. 561-566
[101.]
A. Delin, H. Ohlsen, J. Swedenborg.
Growth rate of abdominal aortic aneurysms as measured by computed tomography.
Br J Surg, 72 (1985), pp. 530-532
[102.]
J. Collin.
Elective surgery for small abdominal aortic aneurysms.
Lancet, 1 (1987), pp. 909
[103.]
J.T. Powell, A.R. Brady, L.C. Brown, J.F. Forbes, F.G.R. Fowkes, R.M. Greenhalgh, C.V. Ruckley, S.G. Thompson.
The UK Small Aneurysm Trial: mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for abdominal aortic aneurysms.
The Lancet, 352 (1998), pp. 1649-1655
[104.]
A.R. Pasch, J.J. Ricotta, A.G. May.
Abdominal aortic aneurysm: the case for selective ressection.
Circulation, (1984), pp. 70:1-70:4
[105.]
W.L. Breckwiold, W.C. Mackey, T.F. O'Donnell.
The economic implications of high-risk abdominal aortic aneurysms.
J Vasc Surg, 13 (1991), pp. 798-804115
[106.]
R. Rutledge, D.W. Oller, A.A. Meyer, G.J. Johnson.
A statewide, population-based, time-series analysis of the outcome of rupture abdominal aortic aneurysm.
Ann Surg, 223 (1996), pp. 492-505
[107.]
R.G. Jepson, J.F. Forbes, F.G. Fowkes.
Resource use and costs of elective surgery for asyntomatic abdominal aortic aneurysm.
Eur J Vasc Endovasc Surg, 14 (1997), pp. 143-148
[108.]
M.R. Law, J. Morris, N.J. Wald.
Screening for abdominal aortic aneurysms.
J Med Screen, 1 (1994), pp. 110-116
[109.]
R.A.P. Scott, A.M. Gudgeon, H.A. Ashton, D.R. Allen, N.M. Wilson.
Surgical workload as a consecuence of screening for abdominal aortic aneurysm.
Br J Surg, 81 (1994), pp. 1440-1442
[110.]
J.F. Forbes, A.R. Brady, L.C. Brown, J.T. Powell, F.G.R. Fowkes, R.M. Greenhalgh, C.V. Ruckley, S.G. Thompson.
The UK Small Aneurysm Trial: health service costs and quality of life early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms.
The Lancet, 352 (1998), pp. 1656-1660
[111.]
J.S. Lindholt, E.W. Hennerg, H. Fasting, S. Juul.
Maas or high-risk screening for abdominal aortic aneurysm.
Br J Surg, 84 (1997), pp. 40-42
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