Format

Send to

Choose Destination
See comment in PubMed Commons below
J Vasc Surg. 2012 Dec;56(6):1786-93. doi: 10.1016/j.jvs.2012.10.001.

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

Author information

1
Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 44106, USA.

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.

Comment in

PMID:
23182490
DOI:
10.1016/j.jvs.2012.10.001
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center