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Surveillance After Endovascular Abdominal Aortic Aneurysm Repair

Division of Vascular and Endovascular Surgery, University of South Florida College of Medicine, Tampa, Florida, mback{at}health.usf.edu

(EVAR) Endovascular Aneurysm Repair of abdominal aortic aneurysms have mandated the need for surveillance imaging and other follow-up testing to minimize the complications of endograft failure and potential for abdominal aortic aneurysms rupture. The 2-dimensional and 3-dimensional contrast-enhanced computed tomography imaging currently serves as the gold standard for serial (EVAR) Endovascular Aneurysm Repair assessment, but this recommendation is being modified by successful clinical experience using duplex ultrasound, magnetic resonance imaging, and implantable wireless sac pressure sensors. Nearly all stent graft devices and abdominal aortic aneurysm-related complications after (EVAR) Endovascular Aneurysm Repair can be detected using available surveillance modalities assuming a compliant patient during follow-up. Alternating complementary surveillance techniques (contrast and noncontrast computed tomography, ultrasound, and pressure measures) can be used to reduce contrast dye and radiation exposure and can be tailored to patients with chronic renal insufficiency.

Key Words: abdominal aortic aneurysm (AAA) • endovascular repair • computed tomography (CT) • duplex ultrasound • pressure sensors

References

• Kalman PG, Rappaport DC, Merchant N., Clarke K., Johnston KW The value of late CT scanning in identification of vascular abnormalities after AAA repair. J Vasc Surg. 1999;29:442-450.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• White GH, Yu W., May J., Chaufour X., Stephen MS Endoleak as a complication of endoluminal grafting of AAAs: classification, incidence, diagnosis, and management. J Endovasc Surg. 1997;4:152-168.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Meier GH, Parker FM, Godziachvili V., et al. Endotension after endovascular aneurysm repair: the Ancure experience. J Vasc Surg. 2001;34:421-426.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• van Marrewijk C., Buth J., Harris PL, et al. Significance of endoleaks after endovascular repair of AAAs: the EUROSTAR experience. J Vasc Surg. 2002;35:461-473.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Lifeline registry of EVAR publications committee. Lifeline registry of endovascular aneurysm repair: long-term primary outcome measures. J Vasc Surg. 2005;42:1-10.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Ohki T., Ouriel K., Silveira PG, et al. Initial results of wireless pressure sensing for endovascular aneurysm repair: the APEX trial—acute pressure measurement to confirm aneurysm sac exclusion. J Vasc Surg. 2007;45:236-242.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Wolf YG, Johnson BL, Hill BB, et al. Duplex ultrasound scanning versus CTA for postoperative evaluation of endovascular AAA repair. J Vasc Surg. 2000;32:142-148.
• Parent FN, Meier GH, Godziachvili V., et al. The incidence and natural history of type I and II endoleak: a 5-year follow-up assessment with color duplex ultrasound scan. J Vasc Surg. 2002;35:474-481.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• May J., White GH, Waugh R., et al. Life-table analysis of primary and secondary success following endoluminal repair of AAA: role of supplementary endovascular intervention in improving outcome. Eur J Vasc Endovasc Surg. 2000;19:648-655.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Sampram ES, Karafa MT, Mascha EJ, et al. Nature, frequency, and predictors of secondary procedures after endovascular repair of AAA. J Vasc Surg. 2003;37: 930-937.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 19, No. 4, 395-400 (2007)
DOI: 10.1177/1531003507312612


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Back, M. R. Search for Related Content PubMed PubMed Citation Articles by Back, M. R. Social Bookmarking                         What's this?