Towards individualized follow-up protocols after endovascular aortic aneurysm repair

Johanna Laturnus, Nelson Oliveira, Frederico Basto Gonçalves, Geert W. Schurink, Hence Verhagen, Michael J. Jacobs, Barend M.E. Mees

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Endovascular aneurysm repair (EVAR) has become the primary treatment option for elective abdominal aortic aneurysms. However, a significant number of patients require secondary interventions to maintain adequate aneurysm exclusion and ultimately prevent death from abdominal aortic aneurysm (AAA) rupture. To maintain success and offer timely secondary intervention, intensive image surveillance has been recommended. These rigorous surveillance regimens are costly and may have deleterious effects from radiation and contrast exposure. Improvements in patient selection, operative technique and devices have caused a decline in complications after EVAR. Therefore, there is a need to reduce surv eillance after EVAR for patients at lower risk of complications and install individualized follow-up protocols. This review describes the current strategies for surveillance and clarification of risk factors and predictors for late complications and discusses proposed risk-adapted strategies for postoperative surveillance after EVAR.

Original languageEnglish
Pages (from-to)242-247
Number of pages6
JournalJOURNAL OF CARDIOVASCULAR SURGERY
Volume57
Issue number2
Publication statusPublished - 1 Apr 2016

Keywords

  • Cardiac imaging techniques
  • Endovascular procedure
  • Follow-up studies
  • Postoperative complications

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