{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:25:02Z","timestamp":1790735102479,"version":"4.1.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"7-8","license":[{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>An abdominal aortic aneurysm is an irreversible dilatation of the abdominal aorta. The majority of abdominal aortic aneurysms are asymptomatic and identified incidentally while investigating a separate pathology. Others are detected by national screening programmes and some present due to a growth or rupture. Symptomatic or ruptured aneurysms require urgent or emergency repair in patients fit for surgery. Perioperative practitioners should therefore be aware of how patients with abdominal aortic aneurysms present and are investigated, so that they can implement timely management. Guidelines have been recently updated to reflect this. This literature review discusses these recommendations and explores the evidence upon which they are based. The aim of this article is to highlight the important preoperative principles that need to be considered in cases of abdominal aortic aneurysm.<\/jats:p>","DOI":"10.1177\/1750458920954014","type":"journal-article","created":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T04:30:43Z","timestamp":1601267443000},"page":"274-280","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Abdominal aortic aneurysms part one: Epidemiology, presentation and preoperative considerations"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8208-8194","authenticated-orcid":false,"given":"Holly N","family":"Hellawell","sequence":"first","affiliation":[{"name":"University of Cambridge, School of Clinical Medicine, Addenbrookes Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8934-2186","authenticated-orcid":false,"given":"Ahmed M H A M","family":"Mostafa","sequence":"additional","affiliation":[{"name":"University of Cambridge, School of Clinical Medicine, Addenbrookes Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0767-9004","authenticated-orcid":false,"given":"Harry","family":"Kyriacou","sequence":"additional","affiliation":[{"name":"University of Cambridge, School of Clinical Medicine, Addenbrookes Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6248-8572","authenticated-orcid":false,"given":"Anoop S","family":"Sumal","sequence":"additional","affiliation":[{"name":"University of Cambridge, School of Clinical Medicine, Addenbrookes Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R","family":"Boyle","sequence":"additional","affiliation":[{"name":"Cambridge University Hospitals, NHS Foundation Trust, Cambridge Vascular Unit, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,28]]},"reference":[{"issue":"1","key":"bibr1-1750458920954014","first-page":"11","volume":"16","author":"Aggarwal S","year":"2011","journal-title":"Experimental and Clinical Cardiology"},{"key":"bibr2-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8698"},{"key":"bibr3-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.02.028"},{"key":"bibr4-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-32100-2"},{"key":"bibr5-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10269"},{"key":"bibr6-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10721"},{"key":"bibr7-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.08.091"},{"key":"bibr8-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2005.01.027"},{"key":"bibr9-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.014748"},{"key":"bibr10-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.044"},{"key":"bibr11-1750458920954014","doi-asserted-by":"publisher","DOI":"10.2310\/6670.2010.00042"},{"key":"bibr12-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2007.048405"},{"key":"bibr13-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.105955"},{"key":"bibr14-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9528"},{"issue":"10","key":"bibr15-1750458920954014","first-page":"e5989","volume":"11","author":"Goldstein LN","year":"2019","journal-title":"Cureus"},{"key":"bibr16-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu521"},{"key":"bibr17-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.03.006"},{"key":"bibr18-1750458920954014","unstructured":"Jeanmonod D, Jeanmonod R 2020 Aneurysm, Abdominal Aortic Rupture (AAA) StatPearls Available from https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459176\/ (accessed 19 May 2020)."},{"key":"bibr19-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.05.090"},{"key":"bibr20-1750458920954014","doi-asserted-by":"publisher","DOI":"10.3400\/avd.cr09015"},{"key":"bibr21-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(92)90412-2"},{"key":"bibr22-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.07.023"},{"issue":"1","key":"bibr23-1750458920954014","first-page":"A446","volume":"39","author":"Mulorz J","year":"2019","journal-title":"Thrombosis and Vascular Biology"},{"key":"bibr24-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3182a088b8"},{"key":"bibr25-1750458920954014","unstructured":"National Vascular Registry 2019 Annual Report Available from https:\/\/www.vsqip.org.uk\/content\/uploads\/2019\/12\/NVR-2019-Annual-Report.pdf (accessed 19 June 2020)."},{"key":"bibr26-1750458920954014","unstructured":"NHS 2017 Abdominal aortic aneurysm screening Available from https:\/\/www.nhs.uk\/conditions\/abdominal-aortic-aneurysm-screening\/ (accessed 19 May 2020)."},{"key":"bibr27-1750458920954014","unstructured":"NHS 2019 Digital hospital admitted patient care activity 2018-19 Available from https:\/\/digital.nhs.uk\/ (accessed 19 April 2020)."},{"key":"bibr28-1750458920954014","unstructured":"NICE 2020 Abdominal aortic aneurysm: Diagnosis and management Available from https:\/\/www.nice.org.uk\/guidance\/NG156 (accessed 19 April 2020)."},{"key":"bibr29-1750458920954014","unstructured":"Office for National Statistics 2018 Deaths registered in England and Wales \u2013 21st century mortality Available from https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/datasets\/the21stcenturymortalityfilesdeathsdataset?fbclid=IwAR1m9Gb_oHyF2gauJbiRPQHkL7H4zJ3V65x8GdXQpoVae9Ac1bCQ1p0gF7Q (accessed 19 May 2020)."},{"issue":"5","key":"bibr30-1750458920954014","first-page":"1\u20137","volume":"5","author":"Petriceks AH","year":"2018","journal-title":"Academic Pathology"},{"key":"bibr31-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5778"},{"key":"bibr32-1750458920954014","unstructured":"Public Health England (PHE) 2019 AAA screening standards: Data report 1 April 2018 to 31 March 2019 Available at https:\/\/www.gov.uk\/government\/publications\/abdominal-aortic-aneurysm-screening-2018-to-2019-data\/aaa-screening-standards-data-report-1-april-2018-to-31-march-2019 (accessed 1 May 2020)."},{"key":"bibr33-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvy174"},{"key":"bibr34-1750458920954014","unstructured":"Rahimi SA 2019 Abdominal aortic aneurysm: Practice essentials, background, anatomy Available from https:\/\/emedicine.medscape.com\/article\/1979501-overview#a6 (accessed 19 April 2020)."},{"key":"bibr35-1750458920954014","unstructured":"Rankin P 2016 Abdominal aortic aneurysm screening programme nurse specialist best practice guidelines Available from https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/501234\/NAAASP_nurse_practice_guidance_Feb_2016.pdf (accessed 19 August 2020)"},{"key":"bibr36-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9235"},{"key":"bibr37-1750458920954014","unstructured":"Royal College of Emergency Medicine (RCEM) 2019 Management and Transfer of Patients with a Diagnosis of Ruptured Abodminal Aortic Aneurysm to a Specialist Vascular Centre Available at https:\/\/www.rcem.ac.uk\/docs\/RCEM%20Guidance\/RCEM_BPC_rAAA_220119%20FINAL.pdf (accessed 19 May 2020)"},{"key":"bibr38-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10600"},{"key":"bibr39-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.03.022"},{"issue":"3","key":"bibr40-1750458920954014","first-page":"36","volume":"113","author":"Smith-Burgess L","year":"2017","journal-title":"Nursing Times"},{"issue":"3","key":"bibr41-1750458920954014","first-page":"E7","volume":"23","author":"Su CY","year":"2020","journal-title":"Anatolian Journal of Cardiology"},{"key":"bibr42-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.03.046"},{"key":"bibr43-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8707"},{"key":"bibr44-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31222-4"},{"key":"bibr45-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8897"},{"key":"bibr46-1750458920954014","doi-asserted-by":"publisher","DOI":"10.3310\/hta17410"},{"key":"bibr47-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.03.006"},{"key":"bibr48-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01353.x"},{"key":"bibr49-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2003.09.006"},{"key":"bibr50-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-014-0327-3"},{"key":"bibr51-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"bibr52-1750458920954014","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-1633.2008.00411.x"},{"issue":"2","key":"bibr53-1750458920954014","first-page":"372","volume":"17","author":"Yildizgoren MT","year":"2016","journal-title":"Pain Medicine"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1750458920954014","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1750458920954014","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1750458920954014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:03:38Z","timestamp":1777709018000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1750458920954014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,28]]},"references-count":53,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/1750458920954014"],"URL":"https:\/\/doi.org\/10.1177\/1750458920954014","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,28]]}}}