05-21-2007, 08:40 PM
Monitoring protocol for abdominal aortic aneurysm
1. Ultrasound for aorta < 5 cm (by ultrasound)
1. Repeat ultrasound in 5 years if aorta 2.5 to 3.4 cm
2. Repeat ultrasound in 2 years if aorta 3.5 to 3.9 cm
3. Repeat ultrasound q6 months if aorta 4 to 5 cm
4. Repeat ultrasound q3 months if aorta 5 to 5.4 cm
2. CT abdomen (3 mm) for aorta >5.4 cm (by ultrasound)
1. Repeat ultrasound q3 months if aorta <5.5 cm
2. Admit patients with aorta >8 cm on CT abdomen
3. Surgery indicated for aorta 5.5 cm or larger
1. Ultrasound for aorta < 5 cm (by ultrasound)
1. Repeat ultrasound in 5 years if aorta 2.5 to 3.4 cm
2. Repeat ultrasound in 2 years if aorta 3.5 to 3.9 cm
3. Repeat ultrasound q6 months if aorta 4 to 5 cm
4. Repeat ultrasound q3 months if aorta 5 to 5.4 cm
2. CT abdomen (3 mm) for aorta >5.4 cm (by ultrasound)
1. Repeat ultrasound q3 months if aorta <5.5 cm
2. Admit patients with aorta >8 cm on CT abdomen
3. Surgery indicated for aorta 5.5 cm or larger