Abdominal Aortic Aneurysm

In patients with a suspected or known abdominal aortic aneurysm (AAA), the SVS recommends performing physical examination that includes an assessment of femoral and popliteal arteries. ( 1 – Strong , A)

In patients with a popliteal or femoral artery aneurysm, the SVS recommends evaluation for an AAA. ( 1 – Strong , A)

The SVS suggests referral to a vascular surgeon at the time of initial diagnosis of an aortic aneurysm. (G-U)

The SVS recommends repair for the patient who presents with an AAA and abdominal or back pain that is likely to be attributed to the aneurysm. ( 1 – Strong , C)

The SVS recommends elective repair for the patient at low or acceptable surgical risk with a fusiform AAA that is ≥5.5 cm. (1 – Strong, A)

The SVS suggests elective repair for the patient who presents with a saccular aneurysm. (2 – Weak, C)

The SVS suggests repair in women with AAA 5.0–5.4 cm in maximum diameter. ( 2 – Weak , B)

In patients with a small aneurysm (4.0–5.4 cm) who will require chemotherapy, radiation therapy, or solid organ transplantation, the SVS suggests a shared decision-making approach to decide about treatment options. ( 2 – Weak , C)