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The role of mandatory lifelong annual surveillance after thoracic endovascular repair.

Abstract：

:Thoracic endovascular aortic repair (TEVAR) has become an attractive and well-accepted option for the management of the various thoracic aortic pathologies that vascular surgeons are confronted with. As in the abdominal aorta, current management trends include the treatment of younger patients with longer life expectancies, raising the issue of postoperative surveillance. There are several relevant differences between these anatomic areas when it comes to surveillance, including the relative inaccessibility of the thoracic aorta to ultrasound interrogation and the increased variability of thoracic aortic pathologies and post-TEVAR complications. In addition, concerns regarding radiation-induced carcinogenesis and contrast-induced nephropathy reduce the enthusiasm of many surgeons for regular computed tomography surveillance. Most agree that surveillance is important after TEVAR, but the method, duration, and frequency of that surveillance is much less clear and is the topic of this debate.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Wong S,Mastracci TM,Katsargyris A,Verhoeven EL

doi

10.1016/j.jvs.2012.10.001

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1786-93

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(12)02100-3

journal_volume

56

pub_type

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