Abdominal aortic aneurysm (Repair follow-up)

Population Covered By The Guidance

This pathway provides guidance for imaging follow-up of adult patients following endovascular abdominal aortic aneurysm repair (EVAR).

Lead Researcher: Dr Sian Chin

Experts & Contributors: Dr Ravinder Dhillon, Dr Philip Misur, Prof Paul Norman, Dr Greg van Schie

Date reviewed: May 2018

Date Published: June 2018

No available images

 

Date of literature search: March 2018

References are graded from Level I to V according to the Oxford Centre for Evidence-Based Medicine, Levels of Evidence. Download the document

  1. Dias NV, Riva L, Ivancev K, Resch T, Sonesson B, Malina M. Is there a benefit of frequent CT follow-up after EVAR? Eur J Vasc Endovasc Surg. 2009;37(4):425-30. (Level III evidence). View the reference
  2. Liaw JV, Clark M, Gibbs R, Jenkins M, Cheshire N, Hamady M. Update: complications and management of infrarenal EVAR. Eur J Radiol. 2009;71(3):541-51. (Review article). View the reference
  3. Mehta M, Paty PS, Roddy SP, Taggert JB, Sternbach Y, Kreienberg PB, et al. Treatment options for delayed AAA rupture following endovascular repair. J Vasc Surg. 2011;53(1):14-20. (Level III evidence). View the reference
  4. Hallett RL, Ullery BW, Fleischmann D. Abdominal aortic aneurysms: pre- and post-procedural imaging. Abdominal radiology (New York). 2018 (Review). View the reference
  5. Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, et al. The society for vascular surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018;67(1):2-77.e2. (Guideline). View the reference
  6. Hiramoto JS, Reilly LM, Schneider DB, Sivamurthy N, Rapp JH, Chuter TA. Long-term outcome and reintervention after endovascular abdominal aortic aneurysm repair using the Zenith stent graft. J Vasc Surg. 2007;45(3):461-5; discussion 5-6. (Level II evidence). View the reference
  7. Vallabhaneni SR, Harris PL. Lessons learnt from the EUROSTAR registry on endovascular repair of abdominal aortic aneurysm repair. Eur J Radiol. 2001;39(1):34-41. (Level II evidence). View the reference
  8. Back MR. Surveillance after endovascular abdominal aortic aneurysm repair. Perspect Vasc Surg Endovasc Ther. 2007;19(4):395-400; discussion 1-2. (Review article). View the reference
  9. Hiatt MD, Rubin GD. Surveillance for endoleaks: how to detect all of them. Semin Vasc Surg. 2004;17(4):268-78. (Review article). View the reference
  10. Chisci E, Setacci F, Iacoponi F, de Donato G, Cappelli A, Setacci C. Surveillance imaging modality does not affect detection rate of asymptomatic secondary interventions following EVAR. Eur J Vasc Endovasc Surg. 2012;43(3):276-81. (Level III evidence). View the reference
  11. Roos JE, Hellinger JC, Hallet R, Fleischmann D, Zarins CK, Rubin GD. Detection of endograft fractures with multidetector row computed tomography. J Vasc Surg. 2005;42(5):1002-6. (Level V evidence). View the reference
  12. Wolf YG, Johnson BL, Hill BB, Rubin GD, Fogarty TJ, Zarins CK. Duplex ultrasound scanning versus computed tomographic angiography for postoperative evaluation of endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2000;32(6):1142-8. (Level III evidence). View the reference
  13. Sun Z. Diagnostic value of color duplex ultrasonography in the follow-up of endovascular repair of abdominal aortic aneurysm. J Vasc Interv Radiol. 2006;17(5):759-64. (Review article). View the reference
  14. Zaiem F, Almasri J, Tello M, Prokop LJ, Chaikof EL, Murad MH. A systematic review of surveillance after endovascular aortic repair. J Vasc Surg. 2018;67(1):320-31.e37. (Review article). View the reference

Pathway User Guide

Yellow Boxes Denotes extra information. Some contain single or multiple white sub-boxes, click a white box to reveal detailed information in a pop-up.

White Boxes: Denotes standard pathway steps. (If inside a yellow box, they open a specific pop-up).

Zoom & Pan Controls: Use + / − or the slider to zoom. Reset returns to default. Tick Panning to drag the diagram when zoomed.

Blue “View Full Screen” Button: Opens the whole diagram in a large, full-screen pop-up window. Use Close to exit.

The relative radiation level (RRL) of each imaging investigation is displayed in the pop up box.

SYMBOL RRL EFFECTIVE DOSE RANGE
No radiation None 0
Minimal radiation Minimal < 1 millisieverts
Low radiation Low 1-5 mSv
Medium radiation Medium 5-10 mSv
High radiation High >10 mSv

Disclaimer

Status Of Recommendations Each pathway is designed to assist clinicians in situations when faced with a large array of possible diagnostic tests and examinations. However, it is recognised that diagnostic practice may differ from a particular pathway depending on local availability of equipment and expertise, as well as the experience of individual clinicians. Therefore each pathway is neither a rigid set of rules, nor a substitute for clinical assessment, and individual patient circumstances should always be considered.

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Cardiovascular