Screening for abdominal aortic aneurysms in Canada: 2020 review and position statement of the Canadian Society for Vascular Surgery

Screening for abdominal aortic aneurysms in Canada: 2020 review and position statement of the Canadian Society for Vascular Surgery

Can J Surg 2021;64(5):E461-E466 | PDF

Varun Kapila, MD; Prasad Jetty, MD, MSc; Doug Wooster, MD; Vic Vucemilo, MD; Luc Dubois, MD, MSc; on behalf of the Canadian Society for Vascular Surgery

Abdominal aortic aneurysms (AAAs) remain a major risk to patients, despite level 1 evidence for screening to prevent rupture events and decrease mortality. In 2007, the Canadian Society for Vascular Surgery (CSVS) published a review and position statement for AAA screening in Canada. Since that publication, there have been a number of updates in the published literature affecting screening recommendations. In this paper, we present a review of some of the controversies in the AAA screening literature to help elucidate differences in the various published screening guidelines. This article represents a review of the data and updated recommendations for AAA screening in the Canadian population on behalf of the CSVS.

Les anévrismes de l’aorte abdominale (AAA) continuent de poser un risque majeur pour les patients, malgré des données probantes de niveau 1 à l’appui du dépistage pour prévenir les ruptures et réduire la mortalité. En 2007, la Société canadienne de chirurgie vasculaire (SCCV) a publié une revue et un énoncé de position sur le dépistage de l’AAA au Canada. Depuis lors, plusieurs mises à jour ont paru dans la littérature et elles ont un impact sur les recommandations relatives au dépistage. Dans le présent article, nous présentons une synthèse de quelques controverses soulevées dans la littérature sur le dépistage de l’AAA afin d’expliquer les différences entre les diverses lignes directrices publiées à ce sujet. Cet article propose au nom de la SCCV une revue des données probantes et des recommandations à jour sur le dépistage de l’AAA dans la population canadienne.


Accepted Sept. 18, 2020

Affiliations: From the William Osler Health System, Brampton, Ont. (Kapila); the University of Ottawa, Ottawa, Ont. (Jetty); the University of Toronto, Toronto, Ont. (Wooster); Trillium Health Partners, Mississauga, Ont. (Vucemilo); and Western University, London, Ont. (Dubois).

Competing interests: Doug Wooster received support for attending meetings and/or travel from the Vascular Surgery Academic Fund, University Health Network. He is cochair of the Quality Improvement and Research Committee, Society for Vascular Ultrasound, medical director of the Toronto West Vascular Lab, a peer reviewer for the College of Physicians and Surgeons of Ontario (CPSO) and a reviewer for the CPSO Independent Health Facilities program. No other competing interests were declared.

Contributors: All authors designed the study, and acquired and analyzed the data. V. Kapila, P. Jetty, D. Wooster and L. Dubois wrote the manuscript, which all authors critically revised. All authors gave final approval of the article to be published.

Content licence: This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/

DOI: 10.1503/cjs.009120

Correspondence to: V. Kapila, Canadian Society for Vascular Surgery, PO Box 58062, Ottawa ON K1C 7H4, varun.kapila@utoronto.ca