What are the USPSTF recommendations for abdominal aortic aneurysms (AAAs) screening?

Updated: Jan 08, 2019
  • Author: Saum A Rahimi, MD, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Patients at greatest risk for AAA are men who are older than 65 years and have peripheral atherosclerotic vascular disease. A history of smoking often is elicited. Accordingly, in 2005, the US Preventive Services Task Force (USPSTF) recommended screening with ultrasonography in men aged 65-75 years who had ever smoked. [4] These recommendations were subsequently updated [5] on the basis of evidence from a 2014 study by Guirguis-Blake et al. [6]

A Swedish study showed that instances of AAA in elderly men have been decreasing, A phenomenon that can be attributed to a nationwide decline in smoking for the past 30 years, as well as the significantly improved longevity of the elderly population. [7] A one-time ultrasound scan is recommended for men once they reach age 65 years to detect and prevent possible occurrences of AAA.

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