41
6.2. AAA: Cause, Risk Factors, and Screening
COR LOE
Recommendations
1 B-R 1. In men who are ≥65 years of age who have ever smoked,
ultrasound screening for detection of AAA is recommended.
1 C-LD 2. In men or women who are ≥65 years of age and who are first-
degree relatives of patients with AAA, ultrasound screening
for detection of AAA is recommended.
2a C-EO 3. In women who are ≥65 years of age who have ever smoked,
ultrasound screening for detection of AAA is reasonable.
2b C-LD 4. In men or women <65 years of age and who have multiple
risk factors (see Table 15) or a first-degree relative with AAA,
ultrasound screening for AAA may be considered.
3: No
Benefit
B-NR 5. In asymptomatic men or women >75 years who have had
a negative initial ultrasound screen, repeat screening for
detection of AAA is not recommended.
Table 14. Risk Factors for Aortic Dissection
Family history of aortic dissection
Aortic growth rate ≥0.3 cm/y
Aortic coarctation
"Root phenotype" aortopathy
