Mr Michael Jenkins Consultant Vascular Surgeon discusses when individuals are likely to be screened for aneurysms and when treatment would be offered.
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When are people screened for aneurysms? So in the UK only males are screened, females aren't screened because the the pickup rate in the female population is thought to be too low to make it worthwhile. The screening started relatively late amongst all screened conditions and it was really in 2010 which we went to live with an intro into what has now become a fully national screening program affecting England, Wales, Scotland and Ireland. That is every man in the year of their 65th birthday is invited for an ultrasound to look and measure the damage of aorta. In other countries it is done variably across Europe and the States. Northern European and Scandinavian countries are very good at that and they have a very good uptake. Our uptake is now probably over 70 percent, i.e. men coming and having an aneurysm screened and the vast majority have found to be normal and if they're able to measure less than 30 millimetres they're then discharged. Anyone with an aorta between 30 and 54 millimetres is kept under surveillance, so that's called a small aneurysm, with ongoing annual and even more frequent ultrasound as it gets closer to the diameter and at 5.5 centimetres or 55 millimetres that is the threshold then for intervention and aneurysm repair. And that screening program picks up about probably just over one percent, it varies from region to region, of men screened actually having aneurysm. But the ultrasound, the test is very non-invasive and it's a very quick test to do. So it's actually a pretty ideal screening procedure because you know the risk group, men in their 60s, you know what to find, the test to find the problem is very non-invasive and very easy, and there is a treatment once that's found, so it fulfills many of the ideal criteria for a screening procedure.
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