Point-of-Care Ultrasound for Identification of Ruptured Infrarenal Abdominal Aortic Aneurysm

Ruptured abdominal aortic aneurysms are associated with high mortality rates and require prompt diagnosis with subsequent intervention. CT scan is considered the gold-standard for diagnosis, however, in the acute setting ultrasound may be a reasonable diagnostic test for certain patients. We report a case that demonstrates the utility of bedside ultrasound of rAAA for a patient in extremis. Also, we provide a brief review of literature for the diagnosis of rAAA with ultrasound.

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Effectiveness of Point-of-Care Ultrasound Performed by Medical Students Compared With Physical Examination by Vascular Surgeons in the Detection of Abdominal Aortic Aneurysms

Journal of Vascular Surgery ◽

10.1016/j.jvs.2016.08.011 ◽

2016 ◽

Vol 64 (5) ◽

pp. 1533-1534

Author(s):

Trinh Mai ◽

Michael Woo ◽

Kimberly Boles ◽

Prasad Jetty

Keyword(s):

Medical Students ◽

Physical Examination ◽

Point Of Care ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Point Of Care Ultrasound ◽

Abdominal Aortic

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Point-of-Care Ultrasound Training for Family Medicine Residents: Examining the outcomes and feasibility of a pilot ultrasound curriculum

POCUS Journal ◽

10.24908/pocus.v4i2.13692 ◽

2019 ◽

Vol 4 (2) ◽

pp. 22-26

Author(s):

Gordon Yao, MD (ipr) BSc ◽

Taeyoung Peter Hong. MD CFPC ◽

Philip Lee, MD CFPC (EM) ◽

Joseph Newbigging, MD CCFP (EM) ◽

Brent Wolfrom, MD CCFP

Keyword(s):

Family Medicine ◽

Screening Program ◽

Point Of Care ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Point Of Care Ultrasound ◽

Potential Utility ◽

Residency Programs ◽

Abdominal Aortic ◽

Cost Reductions

It is estimated that 50% of deaths due to abdominal aortic aneurysms (AAA) could be prevented by a national screening program [1, 2, 3]. Thanks to technological advancements and cost reductions, point-of-care ultrasound (POCUS) in family medicine (FM) is becoming more prevalent [4, 5]. Despite the potential utility of POCUS in FM, of 224 FM residency programs surveyed, only 21% had developed a curriculum [6]. The main barriers identified to establishing a FM POCUS curriculum in Canadian FM residency programs were lack of trained faculty, lack of adequate equipment and lack of time in the curriculum [6].

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Point-of-Care Ultrasound Performed by a Medical Student Compared to Physical Examination by Vascular Surgeons in the Detection of Abdominal Aortic Aneurysms

Annals of Vascular Surgery ◽

10.1016/j.avsg.2018.03.015 ◽

2018 ◽

Vol 52 ◽

pp. 15-21 ◽

Cited By ~ 1

Author(s):

Trinh Mai ◽

Michael Y. Woo ◽

Kim Boles ◽

Prasad Jetty

Keyword(s):

Medical Student ◽

Physical Examination ◽

Point Of Care ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Point Of Care Ultrasound ◽

Abdominal Aortic

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Rapid Bedside Ultrasound Evaluation of a Ruptured Abdominal Aortic Aneurysm With a Prior Repair

Military Medicine ◽

10.1093/milmed/usab538 ◽

2021 ◽

Author(s):

Juliet Corcillo ◽

Joshua Stierwalt ◽

Andrea Kaelin ◽

Brian Murray

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Point Of Care ◽

Stable Condition ◽

Aortic Aneurysms ◽

Point Of Care Ultrasound ◽

Ultrasound Evaluation ◽

Abdominal Aortic ◽

Active Extravasation ◽

Definitive Repair

ABSTRACT Ruptured aortic aneurysms carry a high risk of morbidity and mortality, particularly if not rapidly identified. We present an 87-year-old male, with a history of hypertension and prior endovascular aortic repair, who presented to the Emergency Department (ED) with several days of epigastric abdominal pain radiating to his back and flanks. The patient acutely deteriorated in the ED, and point-of-care ultrasound rapidly identified active extravasation from an abdominal aortic aneurysm with visualization of prior endograft. Point-of-care ultrasound in this patient expedited the diagnosis, resuscitation, and transfer to the operating room with definitive repair by vascular surgery. The patient recovered and was discharged in stable condition.

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Ruptured Abdominal Aortic Aneurysms: Clinical Presentation in Auckland 1993-1997

ANZ Journal of Surgery ◽

10.1046/j.1440-1622.2001.2161.x ◽

2001 ◽

Vol 71 (6) ◽

pp. 334-334

Author(s):

S. A. Mellick

Keyword(s):

Clinical Presentation ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic ◽

Ruptured Abdominal Aortic Aneurysms

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Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993-1997

ANZ Journal of Surgery ◽

10.1046/j.1440-1622.2001.2125.x ◽

2001 ◽

Vol 71 (6) ◽

pp. 341-344

Author(s):

Johanna Rose ◽

Ian Civil ◽

Timothy Koelmeyer ◽

David Haydock ◽

Dave Adams

Keyword(s):

Clinical Presentation ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic ◽

Ruptured Abdominal Aortic Aneurysms

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Endovascular management of ruptured abdominal aortic aneurysms and acute aortic dissections

VASA ◽

10.1024/0301-1526/a000760 ◽

2019 ◽

Vol 48 (1) ◽

pp. 35-46

Author(s):

Stephen Hofmeister ◽

Matthew B. Thomas ◽

Joseph Paulisin ◽

Nicolas J. Mouawad

Keyword(s):

Abdominal Aortic Aneurysms ◽

Rapid Identification ◽

Aortic Aneurysms ◽

Endovascular Interventions ◽

Current State ◽

Technological Advances ◽

Abdominal Aortic ◽

Ruptured Abdominal Aortic Aneurysms ◽

Vascular Emergencies ◽

Aortic Dissections

Abstract. The management of vascular emergencies is dependent on rapid identification and confirmation of the diagnosis with concurrent patient stabilization prior to immediate transfer to the operating suite. A variety of technological advances in diagnostic imaging as well as the advent of minimally invasive endovascular interventions have shifted the contemporary treatment algorithms of such pathologies. This review provides a comprehensive discussion on the current state and future trends in the management of ruptured abdominal aortic aneurysms as well as acute aortic dissections.

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