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Prevalence of Abdominal Aortic Aneurysm in Patients Undergoing Coronary Angiography

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01239225
Recruitment Status : Completed
First Posted : November 11, 2010
Last Update Posted : November 11, 2010
Information provided by:
Meir Medical Center

Brief Summary:

Abdominal aortic aneurysms (AAA) are localized, blood-filled dilations (balloon-like bulges) of the aorta. Approximately 90% of abdominal aortic aneurysms occur infrarenally (1). It is most commonly asymptomatic and can be detected randomly during screening. Its prevalence rate in men aged 65 years and more is 5 - 8% (3).

The risk factors for the occurrence of AAA are male gender, advanced age, history of atherosclerosis, cigarette smoking and 1st degree family history (4).

The prevalence rate is higher in patients with history of atherosclerosis of peripheral blood vessels and coronary arteries (5 - 7). As the size of an aneurysm increases, there is an increased risk of rupture, which can result in severe hemorrhage and death. The death rate due to rupture in the elderly population is 90% (3, 8). Elective surgical repair of the abdominal aortic aneurysm is associated with a death rate of 8% (9). Therefore, the importance of the screening of populations at elevated risk is obvious (5 - 7, 10 -14). Among imaging techniques, ultrasonographic screening for abdominal aortic aneurysm is technically simple, accurate and devoid of ionizing radiation. Ultrasonographic diagnosis of AAA is associated with a major reduction in the incidence of abdominal aortic aneurysm-related mortality (15 - 19). The sensitivity of ultrasonographic screening for abdominal aortic aneurysm is about 100% (19). The most common clinical indications for ultrasonographic screening for abdominal aortic aneurysm are a palpable abdominal mass, hemodynamic impairment of aortic system in lower extremities, pain in the chest, lower back or scrotum, and abdominal bruits.

Ultrasonography is used to screen for aneurysms when the outer aortic diameter is more than 3 cm (normal diameter of the aorta is around 2 cm (20). There is disagreement regarding the follow-up of patients after detection of abdominal aortic aneurysm in diameter of 2.6 cm - 2.9 cm (22). Random detection of abdominal aortic aneurysm where the aortic diameter is 2.6 cm, in men aged 65 years and more, have been associated with no risk for its future significant development (21). Ultrasonographic evaluation of abdominal aorta is a challenge for clinicians because of the need for the accurate detection of aortic diameter (20).

Condition or disease Intervention/treatment Phase
Coronary Angiography Device: Abdominal ultra-sound Procedure: Abdominal ultrasound Phase 4

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Primary Purpose: Diagnostic
Study Start Date : September 2009
Actual Primary Completion Date : March 2010

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Abdominal ultrasound
Abdominal ultrasound
Device: Abdominal ultra-sound
Procedure: Abdominal ultrasound

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All

Inclusion Criteria:

  • Subject is ≥ 18 years of age.
  • Subject understands study requirements and diagnostic procedures and agrees to sign an informed consent form prior to both study procedures:

    • Ultrasonographic screening of abdominal aorta (from diaphragm to aorta bifurcation) in horizontal and vertical position for the detection of aneurysms. Ultrasonographic screening will be perform in frontal technique for sagital view and in right lateral decubitus for coronal view. The outer aortic diameter will be measured in three levels: at the level of the diaphragm, at SMA level and proximal to the aorta bifurcation.
    • Coronary angiography.
  • The patients will be divided into two groups according to the results of their angiograms:

    • Normal coronary angiography (n=100).
    • Atherosclerosis of coronary arteries (n=100).
    • Subject will be available for ultrasonographic follow-up after the procedure.

Exclusion Criteria:

  • Pregnancy.
  • Subject has systemic infection, or is suspected of having systemic infection.
  • Subject has an untreatable bleeding.
  • Enrollment in another study protocol.
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Responsible Party: Dr. Kyryl Derkach, Meir Medical Center Identifier: NCT01239225    
Other Study ID Numbers: mmc2010137-09ctil
First Posted: November 11, 2010    Key Record Dates
Last Update Posted: November 11, 2010
Last Verified: October 2010
Keywords provided by Meir Medical Center:
Patients undergoing coronary angiography