Screening Cardiovascular Patients for Aortic Aneurysms
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Abdominal Aortic Aneurysm
- Sponsor
- Catharina Ziekenhuis Eindhoven
- Enrollment
- 35
- Locations
- 1
- Primary Endpoint
- AAA prevalence
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Screening studies for Abdominal Aortic Aneurysms (AAA) in 65 to 79 years aged men, have shown a significant reduction in AAA related mortality. In addition, the cost-effectiveness of screening for AAA in men in the Netherlands has been demonstrated by using a Markov model. Screening might be even more (cost-) effective if targeted on high risk groups, such as patients with a particular cardiovascular disease with a known increased risk of having an AAA.
Project SCAN (Screening CardioVascular patients for Aortic aNeurysms) is a project focused on targeted AAA screening to proactively diagnose patients at high risk of having an aneurysm that eventually may rupture. This pilot project aims to study the value of a screening protocol in daily practice to detect AAA's in high risk patients.
Detailed Description
1. Offering PAD and CAD patients a non-invasive abdominal ultrasound after a careful process of shared-decision making 2. Recording data on aneurysm detection on all PAD and CAD patients screened: 1. General information (age, gender) 2. Medical history on CardioVascular risk factors (such as smoking history, hypertension, and other cardiovascular medical conditions - only information that is already recorded in the patient's medical history chart) 3. AAA - Yes/ No (Yes if ≥3 cm AAA) 4. If ≥3 cm aneurysm, record exact size and outcome in time (surveillance, treatment, no treatment) 5. If treated, record treatment type (EVAR or Open) and outcome
Investigators
Joep Teijink
MD, PhD, Vascular Surgeon
Catharina Ziekenhuis Eindhoven
Eligibility Criteria
Inclusion Criteria
- •male and female patients
- •peripheral arterial disease (ankle brachial index \< 0,90 and/or reduction of \> 0.15 after exercise test) or a carotid stenosis (stenosis ≥ 50%)
- •age \> 55 year
Exclusion Criteria
- •Patients unfit for endovascular or open surgery (as judged by vascular surgeon)
- •Failure to master the dutch language
Outcomes
Primary Outcomes
AAA prevalence
Time Frame: 1 year