RT Journal
A1 Littooy FN, Steffan G, Greisler HP, White TL, Baker WH
T1 USe of sequential b-mode ultrasonography to manage abdominal aortic aneurysms
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD April 1
VO 124
IS 4
SP 419
OP 421
DO 10.1001/archsurg.1989.01410040029005
UL http://dx.doi.org/10.1001/archsurg.1989.01410040029005
AB • The utility and safety of sequential B-mode ultrasonography to treat male patients with small (6.0 cm in diameter) abdominal aortic aneurysms (AAAs) were studied retrospectively in 149 consecutive patients. Sixty-three of these patients have had operative repair of the AAA. Eighty-six remain unoperated on. Mean growth rate was 0.79 cm/y (1.06 cm/y in the operated-on group and 0.36 cm/y in the unoperated-on group). Seven patients sustained rupture of the AAA during follow-up and 4 patients died as a consequence of elective repair, for a combined mortality rate of 7.4% (11/149). Only one AAA that was less than 5.0 cm ruptured. This has proved to be an effective way to manage AAAs in this population.(Arch Surg 1989;124:419-421)