2018NICE指南：腹主动脉瘤的诊断和管理（草案）.pdf

DRAFT FOR CONSULTATION 1 Abdominal aortic aneurysm: diagnosis and 2 management 3 4 NICE guideline 5 Draft for consultation, May 2018 6 This guideline covers diagnosing and managing abdominal aortic aneurysms. It aims to improve care by helping people who are at risk to get tested, specifying how often to monitor asymptomatic aneurysms, and identifying when aneurysm repair is needed and which procedure will work best. Who is it for?  Healthcare professionals  Commissioners and providers  People with an abdominal aortic aneurysm, their families and carers This version of the guideline contains:  the draft recommendations  rationale and impact sections that explain why the committee made the recommendations and how they might affect practice  the guideline context  recommendations for research. This guideline will update NICE technology appraisal guidance 167 (published February 2009). Information about how the guideline was developed is on the guideline’s page on the NICE website. This includes the evidence reviews, the scope, and details of the committee and any declarations of interest. 7 Abdominal aortic aneurysm : NICE guideline DRAFT (May 2018) 1 of 36 DRAFT FOR CONSULTATION 8 Contents 9 Recommendations 3 10 1.1 Diagnosis 3 11 1.2 Emergency transfer to regional vascular services 5 12 1.3 Monitoring and reducing the risk of rupture 7 13 1.4 Predicting and improving surgical outcomes 7 14 1.5 Repairing unruptured aneurysms 9 15 1.6 Repairing ruptured aneurysms 10 16 1.7 Monitoring for complications after endovascular aneurysm repair 11 17 1.8 Managing endo