Article (Scientific journals)
High Prevalence of Abdominal Aortic Aneurysm in Patients with Three-vessel Coronary Artery Disease.
DURIEUX, Rodolphe; VAN DAMME, Hendrik; Labropoulos, N. et al.
2014In European Journal of Vascular and Endovascular Surgery
Peer Reviewed verified by ORBi
 

Files


Full Text
NS82
Publisher postprint (550.99 kB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
Abdominal aortic aneurysm; Coronary artery disease; Screening
Abstract :
[en] OBJECTIVES: Currently, the prevalence of abdominal aortic aneurysm (AAA) in patients with coronary artery disease (CAD) and the correlation between CAD severity and AAA prevalence are not clearly known. We conducted a prospective study to determine the prevalence of AAA in patients undergoing coronary angiography and to determine the risk factors and a coronary profile associated with AAA. METHODS: Over an 18-month period, abdominal aortic ultrasound was performed on 1,000 patients undergoing coronary angiography for suspected or known CAD, or prior to valve surgery. Clinical characteristics and coronary profile were collected from the patients. RESULTS: The overall number of previously repaired, already diagnosed, and new cases of AAA in the study population was 42, yielding a prevalence of 4.2%. Among the patients with newly detected AAAs, only two had an AAA diameter of >54 mm and were therefore treated surgically. In men aged >/=65 years, the prevalence reached 8.6%, while in men with three-vessel CAD it was 14.4%. Multivariate analysis showed that age >/=65 years (p = .003), male gender (p = .003), family history of AAA (p = .01), current smoking (p = .002), and three-vessel CAD (p < .001) were significantly associated with a higher prevalence of AAA. CONCLUSION: The prevalence of AAA was high in men aged >/=65 years and in those with three-vessel CAD regardless of age. While our findings do not prove the cost-effectiveness of screening for AAA in these high risk patients, they do support the usefulness of a quick ultrasound examination of the abdominal aorta during routine transthoracic echocardiography in such patients.
Disciplines :
Surgery
Author, co-author :
DURIEUX, Rodolphe  
VAN DAMME, Hendrik ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Labropoulos, N.
Yazici, A.
Legrand, Victor ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie
Albert, Adelin  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Département des sciences de la santé publique
Defraigne, Jean-Olivier ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Sakalihasan, Natzi ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Language :
English
Title :
High Prevalence of Abdominal Aortic Aneurysm in Patients with Three-vessel Coronary Artery Disease.
Publication date :
2014
Journal title :
European Journal of Vascular and Endovascular Surgery
ISSN :
1078-5884
eISSN :
1532-2165
Publisher :
W. B. Saunders Co., United Kingdom
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Available on ORBi :
since 27 January 2014

Statistics


Number of views
103 (13 by ULiège)
Number of downloads
3 (3 by ULiège)

Scopus citations®
 
57
Scopus citations®
without self-citations
52
OpenCitations
 
50

Bibliography


Similar publications



Contact ORBi