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Invited Commentary
October 2015

Follow-up Surveillance After Endovascular Aneurysm Repair : Less Is More?

Author Affiliations
  • 1Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
  • 2Division of Vascular and Endovascular Surgery, University of Massachusetts Medical Center, Worchester
JAMA Surg. 2015;150(10):964. doi:10.1001/jamasurg.2015.1334

In disease surveillance, a tension exists between adequate detection of disease progression and the risk for overdiagnosis and unnecessary use of resources. The goal of imaging surveillance after endovascular aneurysm repair (EVAR) can be stated simply: early detection of asymptomatic problems to avoid potentially severe consequences (ie, post-EVAR aneurysm rupture). Existing guidelines for surveillance after EVAR1 are based largely on expert opinion, and high-quality evidence to inform the ideal post-EVAR surveillance regimen does not exist.