#abdominal aortic aneurysm

[mcatmemoranda]

Abdominal aortic aneurysm – Abdominal aortic aneurysm (AAA) is a common and potentially life-threatening condition. Approximately 7000 deaths per year are attributed to ruptured AAA in the United States. Without repair, ruptured AAA is nearly uniformly fatal. For asymptomatic patients, elective repair of the aneurysm is the most effective management to prevent rupture.

●Asymptomatic small AAA – For most patients with asymptomatic infrarenal AAA <5.5 cm, we recommend conservative management (watchful waiting) rather than elective AAA repair (Grade 1A). The risk of aneurysm rupture does not exceed the risk of repair until the aneurysm diameter reaches 5.5 cm. However, there are situations for which elective repair of asymptomatic AAA <5.5 cm may also be appropriate. These may include rapidly expanding AAA (>0.5 cm in six months or >1 cm per year), coexistent aneurysm/peripheral artery disease, and female sex.

●Conservative management – Conservative management consists of periodic clinical evaluation and imaging surveillance to identify AAA that exceeds the threshold for repair or is rapidly expanding. Medical therapies for patients with AAA focus on the management of modifiable risk factors for AAA and cardiovascular disease with the goals of reducing the need for intervention due to aneurysm expansion or rupture, reducing morbidity and mortality associated with AAA repair, and reducing cardiovascular morbidity and mortality.

•Smoking cessation – For patients with AAA who smoke, we recommend smoking cessation (Grade 1A). Smoking is strongly associated with AAA expansion and rupture and is the most important modifiable risk factor. Even though reduced aneurysm expansion and rupture risk have not been clearly demonstrated among those who have stopped smoking, smoking cessation has other clear benefits.

•No medical therapies proven to limit AAA expansion – Although many pharmacologic therapies aimed at limiting AAA expansion and preventing rupture have been tried, no therapy has been proven successful at achieving these goals, and as such, we suggest not implementing any of the pharmacologic therapies discussed above for the sole purpose of treating AAA (Grade 2C).

●Asymptomatic large AAA – For good-risk surgical candidates (open or endovascular repair) with AAA >5.5 cm, we recommend elective AAA repair (Grade 1A). For patients with AAA >5.5 cm who have a short life expectancy (<2 years) due to advanced comorbidities, particularly cardiopulmonary disease or malignancy, we suggest no repair over endovascular aneurysm repair (Grade 2B). For these patients and others who elect not to undergo repair, ongoing AAA surveillance is not needed. The patient should be encouraged to create an advanced directive detailing their wishes for no repair of any kind in the event of rupture. Family members or other caretakers should be made aware of these wishes, given that the patient may not be able to report their wishes at the time of aneurysm rupture.

●AAA repair – The primary goals of aneurysm repair are to prevent rupture while minimizing morbidity and mortality associated with repair. We agree with guidelines from major medical and surgical societies that emphasize an individualized approach when choosing between an open or endovascular approach to AAA repair, accounting for aortic anatomy, patient age, life expectancy, and risk factors for perioperative morbidity and mortality. For patients with favorable anatomy for endovascular repair (as defined by the instructions for use of a given device) and a high level of perioperative risk, we recommend endovascular repair, rather than open surgical repair (Grade 1B).

●Surveillance schedule for unrepaired AAA – The optimal surveillance schedule for patients who are not undergoing AAA repair is not known for certain. The Society for Vascular Surgery (SVS) recommends surveillance every 6 to 12 months using ultrasound or CT for medium-sized aneurysms (4 to 5.4 cm in diameter) but less frequent intervals for smaller aneurysms. We frequently perform surveillance on small aneurysms annually to minimize imaging variability and alleviate patient anxieties. Annual clinical examination and risk reduction assessment can also be performed concurrently with AAA surveillance.

[primehospitall]

Unveiling the Silent Threat: Understanding Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm Prime Hospital in Panipat is a leading healthcare facility specializing in the diagnosis and treatment of abdominal aortic aneurysms (AAA). Situated in the heart of Panipat, our hospital is renowned for its state-of-the-art technology, experienced medical professionals, and compassionate care.

[heighpubsseo]

Archives of Vascular Medicine

International Archives of Vascular Medicine is an open access, peer reviewed journal focusing original, reviews, communications, cases, images, etc., in the areas of studies involving diseases of the circulatory system, and specifically diseases of the arteries, veins and lymphatic vessels

[perfect-jerry-blossom]

i always find it a little funny when people say “i’m gonna have an aneurysm” or “he had an aneurysm” as a stand-in for like, freaking out or getting really mad. because an aneurysm in and of itself is not necessarily symptomatic! you could have a 5cm aortic aneurysm right now and not even know. on top of that, an aneurysm is not always deadly, especially if it’s caught early and monitored. when i was working outpatient imaging we regularly had older folks come in to have their aneurysms monitored. so when people are like “omg i’m gonna have an aneurysm” i’m like well you probably wouldn’t know even if you had one for years :) it just doesn’t have the same urgency as like “you gave me a heart attack” yknow lolol

it might make more sense to say “i’m gonna hemorrhage” or “he was thrombosed” but those both sound stupid and lame so aneurysm wins

[ricisidro]

Rest in peace 🙏 RIP actor-comedian Manuel "Jun" Salazar Urbano Jr., popularly known as "Mr. Shooli" of the late 80s TV show called "Mongolian Barbecue." He died due to ruptured abdominal aortic aneurysm at age 84, his family confirmed.

Abdominal Aortic Aneurysm: Symptoms, Causes, Risk Factors, Complications, and Prevention

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[medantahospital606]

What to Expect, Dos & Don’ts of Endovascular Repair? | Medanta Cares

[gurvgarg]

Abdominal Aortic Aneurysm Screening

Abdominal aortic aneurysm (AAA) screening is a process used to detect these aneurysms, which are bulges or weaknesses in the aorta that can rupture and cause severe internal bleeding. The aorta is the large blood vessel that carries blood from the heart to the rest of the body. AAA screening is important because it can often detect aneurysms before they rupture, which can be a life-threatening event. There are two main types of AAA screening: ultrasonography and computed tomography (CT) angiography. Ultrasonography uses sound waves to create images of the aorta, while CT angiography uses x-rays to create images of the blood vessels. AAA screening is usually recommended for men over the age of 65 and for women over the age of 60 who have a family history of AAA. It is important to talk to your doctor about whether AAA screening is right for you.

[bloggerthrive]

Global Abdominal Aortic Aneurysm Repair Devices Market Outlook

The growth of a section of the aorta, the body's main blood vessel, which passes through the abdomen, is referred to as a "abdominal aortic aneurysm." Men experience AAA more frequently than women do, and it affects those over 50. Other factors including smoking and high blood pressure can also contribute to AAA. Surgical intervention was once used to treat AAA; endovascular stent grafting has since taken its place. Abdominal Aortic Aneurysm Repair Devices Market stent grafting is a minimally invasive procedure that has several benefits over open surgery, such as less blood loss, quicker recovery times, shorter stays in the hospital, and lower mortality and morbidity.

Read More:

https://knackersblogger.blogspot.com/2022/09/north-america-is-expected-to-hold.html

[recycledbodies]

this past week has been chock full of xrays, mris, blood draws, urine samples, and punctuated with bouts of existential dread and intermittent sobbing

[pitheinfinite]

Hi, there. It's been a long time.

Life update and thoughts under the cut

For the past few months, I've been through some darkest moments of my life. To sum up- 'cuz I'd rather not walking through all that terrible things again-Rest in peace, Dad. And fu*k you abdominal aortic aneurysm.

Don't worry. I'm feeling much better now. At least no crying-all-the-time, no depression. My social energy remains quite low however.

The good news is, at least I've gained some motive and interest to create cc again. 'course I mean after I figure out how I did that back then. I have some unfinished projects and even tutorials which I don't fully understand now. Feeling a bit like someone waking up from a long term coma.

It might take me some time to sort things out. I know you kind souls will always wait for me. If you're reading this, thank you my friends. I'm so grateful that you're still around after all these times, particularly on such an unstable platform.

In fact, I'm really surprised at how creative and powerful these new mods can be. I've tried the smooth mod and search mod by lazyduchess so far and they are TRUE LIFESAVER. I've also tried Frankie's masterpiece Rosewood Park and took the above pics tho it's almost unrecognizable.

Huge shout to people still creating for this game. Thanks to your contributions, I feel like I've found a brand new game with so many things to explore. I am so excited to see these developments within the community.

[neuromedical]

I keep wanting to write about my Saturday shift, because it was the most traumatising thing I've had to deal with in medicine so far and I keep thinking about it and it keeps haunting me... but I just don't know how and I don't feel like writing the entire day out. It was all about one single patient that underwent an aortic repair surgery after a Stanford A dissection. By the evening I saw hot, bright red, arterial blood pouring like some damn waterfall out of their open chest and all I could think of in that moment was "we have heartbeat! good sign!". The utter chaos in the OR while resuscitating them. The pools of blood everywhere. The ECMO. It was... a nightmare. We brought them back to the ICU, but at what cost...

And then in the morning we ran to another ward to resuscitate a patient who after the initial CPR felt good and talked to us... and then was dead in half an hour because their abdominal aortic aneurysm ruptured. And we tried and the surgeons came but all they wanted was a fucking CT scan instead of running to the OR. The bloody cowards.

I spent Sunday in bed. I teared up multiple times thinking about it. And even thinking about my coworker, because I know how hard it was on her and I wish, I really fucking wish, I could've helped her more, but I'm just a stupid resident who graduated two years ago and... yeah. I came from another shift this morning and I have to say that I felt like dying yesterday. I didn't think I could get through it, but fortunately this one was peaceful and I even helped some patients and my work wasn't completely useless. And it felt good to leave in the morning.

Thankfully I'm still on my neurosurgery placement so I had some time away from my regular job to deal with this shit, but... it's been awful. I do feel it in my bones. I've spent a lot of time in bed this week...

[megashadowdragon]

analysis of one piece 1108 thread

Saturn's eye / The Eye of Saturn Did you know that Planet Saturn had an eye?

A famous quote says that "Time is in the eye of the beholder". Saturn's eye? Saturn is called Chronos and the God of Time, can he manipulate time? Is this the secret behind his regeneration powers?

Chronus (Saturn) has regenerative healing faactor. Saturn however is unable to regenerate missing limbs or organs and would require magical assistance to do so. Is this the way to defeat Saturn?

- This is no surprise as in Chinese mythology, Saturn is associated with an ox.

The Ushi-oni can spit poison (venom) and has poisonous claws

Luffy turned into a Giant

Saturn turned into a spider

Will Luffy defeat Saturn by crushing him with his giant foot, like an insect/spider?

Luffy may defeat Saturn with Bajrang Stamp/Axe - Kuma saw Luffy train Gum Gum Axe - Saturn says that humans are "insects" - Saturn became a Full Spider - In Hindu mythology, Hanuman (Bajrang Bali) took full control of Saturn's power by stepping onto Saturn under his mighty feet

Vegapunk is inspired from Einstein - Vegapunk wants to tell us the truth about our world - Einstein said that science is finding the truth and wrote a book named The World I view

- Vegapunk: "I'll die from internal hemorrhaging" - Einstein died from internal hermmorhaging after a ruptured abdominal aortic aneurysm (main blood vessel)

Speaking of internal bleeding, Kizaru also internally bleeds like Vegapunk

This chapter depicts different celestial bodies: - The Sun (Luffy) - Saturn - Neptune (Poseidon) - Pluto (Pluton) Will the other planets come into play too?

kuma is 689 cm and kaido is 710 cm tall