AAA

Question 1

when is screening for AAA

Answer 1

single abdo US for males when 65 y/o

Question 2

size = < 3cm

Answer 2

normal no further action

Question 3

between 3 - 4.4cm

Answer 3

rescan every 12 months

Question 4

4.5 - 5.4cm

Answer 4

rescan every 3 months

Question 5

> 5.5cm

Answer 5

refer within 2 weeks to vascular for repair

Question 6

> 1cm/year

Answer 6

refer within 2 weeks to vascular for repair

Question 7

high rupture risk

Answer 7

symptomatic, >5.5cm, rapidly enlarging >1cm/year

Question 8

treatment of AAA

Answer 8

Elective Endovascular Repair (EVAR) or open repair if unsuitable

Question 9

what is EVAR

Answer 9

a stent is placed into the abdominal aorta via the femoral artery to prevent blood from collecting in the aneurysm

Question 10

complication of EVAR

Answer 10

endo-leak, where the stent fails to exclude blood from the aneurysm, and usually presents without symptoms on routine follow-up

Question 11

Any elderly man with back pain gets what

Answer 11

a ultrasound scan to exclude a AAA before any other diagnosis is considered, especially if they have haemodynamic instability