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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.
