Detection of unexpected aortic aneurysms by using computed tomography in emergency department: A retrospective analysis of more than 10.000 patients

Turk J Vasc Surg. 2023; 32(2): 100-6

Hulya Sevil, Fehim Can Sevil, Mehmet Tort, Uğur Aksu, Cigdem Ozer Gokaslan, Serife Ozdinc, Necip Becit.

Abstract
Aim: This study aims to determine the prevalence of aortic aneurysms (AA) on computed tomography (CT) in the emergency department. Material and Methods: A total of 10219 CT images were retrospectively analyzed (7610 thoracic, 6148 abdominal CT). A thoracic aortic diameter greater than 50 mm, an abdominal aortic diameter greater than 30 mm, or an aortic diameter greater than 50% of normal were considered AA. The baseline demographic and clinical characteristics of patients with thoracic AA (TAA) and abdominal AA (AAA) were compared to those without AA. Results: TAA was found in 990 (13%) of 7610 patients who had thoracic CT, while AAA was found in 66 (1.07%) of 6148 patients who had abdominal CT. In aneurysm groups, advanced age (p Key words: Aortic aneurysms, computed tomography, diagnosis, endovascular treatment