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Diagnosis and Management of Aortic Disease

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57 6.5.5.5. Treatment of Concomitant Common Iliac Aneurysms COR LOE Recommendations 1 C-LD 1. For patients with asymptomatic small AAA and concomitant common iliac artery aneurysm(s) ≥3.5 cm, elective repair of both abdominal and iliac aneurysms is recommended. 1 B-NR 2. When treating common iliac artery aneurysms or ectasia as part of AAA repair, preservation of at least 1 hypogastric artery is recommended, if anatomically feasible, to decrease the risk of pelvic ischemia. 6.5.6.1. Surveillance After TAA Repair COR LOE Recommendations 1 B-NR 1. In patients treated with TEVAR, surveillance imaging with CT is recommended after 1 month and 12 months and, if stable, annually thereafter. 2a B-NR 2. In patients treated with TEVAR, longitudinal surveillance with MRI is a reasonable alternative to CT for reduction of long-term radiation exposure or avoidance of an iodinated contrast allerg y. 2a B-NR 3. In patients treated with open repair of the thoracic aorta without residual aortopathy, surveillance imaging with a CT or MRI within 1 year postoperatively and then every 5 years thereafter is reasonable. 2a C-EO 4. In patients treated with open repair of the thoracic aorta who have residual aortopathy or abnormal findings on surveillance imaging, annual surveillance imaging is reasonable.

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