Surgery Today

, Volume 25, Issue 7, pp 608–611

Screening for abdominal aortic aneurysm and occlusive peripheral vascular disease in Japanese residents

  • Hiroyuki Takei
  • Susumu Ishikawa
  • Akio Otaki
  • Kazuhiro Sakata
  • Masahiro Aizaki
  • Yasushi Sato
  • Masao Suzuki
  • Toshikazu Ishikita
  • Yuichi Iino
  • Takao Yokoe
  • Yasuo Morishita
Original Articles

DOI: 10.1007/BF00311434

Cite this article as:
Takei, H., Ishikawa, S., Otaki, A. et al. Surg Today (1995) 25: 608. doi:10.1007/BF00311434

Abstract

To evaluate the prevalence of abdominal aortic aneurysm (AAA) and occlusive peripheral vascular disease (PVD) in Japanese residents, and to examine the correlations between these diseases and the risk factors of atherosclerosis, 348 residents of a village in central Japan aged between 60 and 79 years were screened. The screening for AAA was performed using ultrasonography (US) and that for PVD was performed by palpation and Doppler US. No AAA was found, and a right common iliac arterial aneurysm was detected in a 79-year-old man (0.3%). The mean diameter of the infrarenal abdominal aorta was 18.7 mm and an abdominal aorta of 25 mm or greater in diameter was seen in 16 participants (4.6%), all of whom need to be followed up. PVD was suspected in two patients (0.6%) with a low ankle brachial pressure index. Of a total of five patients diagnosed or suspected of having a common iliac arterial aneurysm or PVD, four (80%) had at least one risk factor for atherosclerosis. Thus, we conclude that Japanese residents with risk factors predisposing them to atherosclerosis such as hypertension, obesity, abnormal serum lipid levels, and a history of smoking should be selectively screened for AAA and PVD due to the low prevalence of these diseases and from the viewpoint of cost-effectiveness.

Key Words

screening abdominal aortic aneurysm occlusive peripheral vascular disease risk factors of atherosclerosis 

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Hiroyuki Takei
    • 1
  • Susumu Ishikawa
    • 1
  • Akio Otaki
    • 1
  • Kazuhiro Sakata
    • 1
  • Masahiro Aizaki
    • 1
  • Yasushi Sato
    • 1
  • Masao Suzuki
    • 1
  • Toshikazu Ishikita
    • 1
  • Yuichi Iino
    • 1
  • Takao Yokoe
    • 2
  • Yasuo Morishita
    • 1
  1. 1.Second Department of SurgeryGunma University School of MedicineGunmaJapan
  2. 2.Emergency DivisionGunma University School of MedicineGunmaJapan