Systematic review and meta‐analysis of growth rates of small abdominal aortic aneurysms

Small abdominal aortic aneurysms are usually asymptomatic and managed safely in ultrasound surveillance programmes until they grow to a diameter threshold where intervention is considered. The aim of this study was to synthesize systematically the published data on growth rates for small aneurysms to investigate the evidence basis for surveillance intervals.

[1]  Evelyn P Whitlock,et al.  Screening for Abdominal Aortic Aneurysm: A Best-Evidence Systematic Review for the U.S. Preventive Services Task Force , 2005, Annals of Internal Medicine.

[2]  J. Lindholt,et al.  Screening for abdominal aortic aneurysms: single centre randomised controlled trial , 2005, BMJ : British Medical Journal.

[3]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. , 2010, International journal of surgery.

[4]  E. Shaw,et al.  Recommendations for screening intervals for small aortic aneurysms , 2003, The British journal of surgery.

[5]  RAP Scott,et al.  The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial , 2002, The Lancet.

[6]  M. Vega de Céniga,et al.  Growth rate and associated factors in small abdominal aortic aneurysms. , 2006, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[7]  M. Sweeting,et al.  Use of angiotensin converting enzyme inhibitors is associated with increased growth rate of abdominal aortic aneurysms. , 2010, Journal of vascular surgery.

[8]  Konrad Jamrozik,et al.  Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm , 2004, BMJ : British Medical Journal.

[9]  J. Lindholt,et al.  Optimal interval screening and surveillance of abdominal aortic aneurysms. , 2000, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[10]  T. Wilsgaard,et al.  Increased growth rate of abdominal aortic aneurysms in women. The Tromsø study. , 2005, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[11]  Vinjar Fønnebø,et al.  The Tromsø Study , 1995, Scandinavian journal of social medicine.

[12]  J. Lindbäck,et al.  The effect of azithromycin and Chlamydophilia pneumonia infection on expansion of small abdominal aortic aneurysms--a prospective randomized double-blind trial. , 2009, Journal of vascular surgery.

[13]  D. Zelt,et al.  Selective management of abdominal aortic aneurysms smaller than 5.0 cm in a prospective sizing program with gender-specific analysis. , 2003, Journal of vascular surgery.

[14]  R M Turner,et al.  Multilevel models for meta-analysis, and their application to absolute risk differences , 2001, Statistical methods in medical research.

[15]  F. Verzini,et al.  Comparison of surveillance versus aortic endografting for small aneurysm repair (CAESAR): results from a randomised trial. , 2011, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[16]  Gary R Johnson,et al.  Immediate repair compared with surveillance of small abdominal aortic aneurysms. , 2002, The New England journal of medicine.

[17]  F. Moll,et al.  Growth predictors and prognosis of small abdominal aortic aneurysms. , 2008, Journal of vascular surgery.

[18]  T. Huber.  Comparison of Surveillance Versus Aortic Endografting for Small Aneurysm Repair (CAESAR): Results from a Randomised Trial , 2012 .

[19]  M. Vega de Céniga,et al.  Analysis of expansion patterns in 4-4.9 cm abdominal aortic aneurysms. , 2008, Annals of vascular surgery.

[20]  T. Prevost,et al.  Growth rates and risk of rupture of abdominal aortic aneurysms , 1998, The British journal of surgery.

[21]  D Bergqvist,et al.  Literature review of surgical management of abdominal aortic aneurysm. , 2001, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[22]  Jeroen J. Bax,et al.  Statins are associated with a reduced infrarenal abdominal aortic aneurysm growth. , 2006, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[23]  I. Benseñor.  Screening for abdominal aortic aneurysm , 2004, Sao Paulo medical journal = Revista paulista de medicina.

[24]  Simon G. Thompson,et al.  Abdominal Aortic Aneurysm Expansion: Risk Factors and Time Intervals for Surveillance , 2004, Circulation.

[25]  Christopher K Zarins,et al.  Endovascular repair compared with surveillance for patients with small abdominal aortic aneurysms. , 2010, Journal of vascular surgery.

[26]  A. R. Brady,et al.  Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms , 1998, The Lancet.

[27]  N. Zöllner,et al.  Influence of selective management on the prognosis and the risk of rupture of abdominal aortic aneurysms , 1994, The clinical investigator.

[28]  J. Collin,et al.  Influence of screening on the incidence of ruptured abdominal aortic aneurysm: 5‐year results of a randomized controlled study , 1996, The British journal of surgery.

[29]  J. Powell,et al.  Limitations of ultrasonography in surveillance of small abdominal aortic aneurysms , 1991, The British journal of surgery.

[30]  Propranolol for small abdominal aortic aneurysms: results of a randomized trial. , 2002 .

[31]  S. Santilli,et al.  Expansion rates and outcomes for the 3.0-cm to the 3.9-cm infrarenal abdominal aortic aneurysm. , 2002, Journal of vascular surgery.

[32]  P. Investigators.  Propranolol for small abdominal aortic aneurysms: results of a randomized trial. , 2002, Journal of vascular surgery.

[33]  E. Arnesen,et al.  The difference between ultrasound and computed tomography (CT) measurements of aortic diameter increases with aortic diameter: analysis of axial images of abdominal aortic and common iliac artery diameter in normal and aneurysmal aortas. The Tromsø Study, 1994-1995. , 2004, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.