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Postoperative surveillance after surgical repair of abdominal aortic aneurysms: Abdominal aortic aneurysm: diagnosis and management: Evidence review V. London: National Institute for Health and Care Excellence (NICE); 2020 Mar. (NICE Guideline, No. 156.)
Postoperative surveillance after surgical repair of abdominal aortic aneurysms: Abdominal aortic aneurysm: diagnosis and management: Evidence review V.
Show details| Review question 27 | How frequently should people be monitored for postoperative complications, further aneurysm expansion and aneurysm rupture after EVAR or open repair of an abdominal aortic aneurysm? |
|---|---|
| Objectives | To determine appropriate intervals for monitoring of people who have undergone surgical repair of an abdominal aortic aneurysm; that is, how frequently people should be monitored to detect complications (endoleak, graft migration, graft kinking, incisional hernia, graft occlusion and aortic neck expansion), further aneurysm expansion and aneurysm rupture) |
| Type of review | Intervention |
| Language | English |
| Study design |
Systematic reviews of study designs listed below Randomised controlled trials Quasi-randomised controlled trials If insufficient evidence identified, non-randomised controlled trials and prospective cohort studies (n >500) |
| Status |
Published papers only (full text) No date restrictions |
| Population |
People who have undergone surgical repair of an abdominal aortic aneurysm Subgroup: age, sex, comorbidities, compliance with surveillance |
| Intervention | Varying intervals of monitoring/surveillance and defined protocols (also accounting for imaging technique and time since surgery) |
| Comparator | Each other |
| Outcomes |
AAA rupture Further AAA growth/expansion Mortality; survival Need for additional intervention, including both emergency and elective surgical intervention Compliance Quality of life Adverse effects, including incidence of cancer, renal complications (contrast-induced nephrotoxicity) Lower limb, visceral and renal ischaemia Resource use and cost |
| Other criteria for inclusion / exclusion of studies |
Exclusion: Non-English language Abstract/non-published (i only) |
| Baseline characteristics to be extracted in evidence tables |
Age Sex Size of aneurysm Comorbidities Date of surgical intervention |
| Search strategies | See Appendix B |
| Review strategies |
Appropriate NICE Methodology Checklists, depending on study designs, will be used as a guide to appraise the quality of individual studies. Data on all included studies will be extracted into evidence tables. Where statistically possible, a meta-analytic approach will be used to give an overall summary effect. All key findings from evidence will be presented in GRADE profiles and further summarised in evidence statements. |
| Key papers | None identified |
- Comparison of midterm results of endovascular aneurysm repair for ruptured and elective abdominal aortic aneurysms.[J Vasc Surg. 2020]Comparison of midterm results of endovascular aneurysm repair for ruptured and elective abdominal aortic aneurysms.Oliveira-Pinto J, Soares-Ferreira R, Oliveira NFG, Bastos Gonçalves FM, Hoeks S, Van Rijn MJ, Raa ST, Mansilha A, Verhagen HJM. J Vasc Surg. 2020 May; 71(5):1554-1563.e1. Epub 2019 Oct 31.
- Treatment options for delayed AAA rupture following endovascular repair.[J Vasc Surg. 2011]Treatment options for delayed AAA rupture following endovascular repair.Mehta M, Paty PS, Roddy SP, Taggert JB, Sternbach Y, Kreienberg PB, Chang BB, Darling RC 3rd. J Vasc Surg. 2011 Jan; 53(1):14-20. Epub 2010 Sep 26.
- Outcomes of abdominal aortic aneurysm with aortic neck thrombus after endovascular abdominal aortic aneurysm repair.[J Med Assoc Thai. 2014]Outcomes of abdominal aortic aneurysm with aortic neck thrombus after endovascular abdominal aortic aneurysm repair.Chinsakchai K, Hongku K, Hahtapornsawan S, Wongwanit C, Ruangsetakit C, Sermsathanasawadi N, Mutirangura P. J Med Assoc Thai. 2014 May; 97(5):518-24.
- Review Accuracy of imaging techniques in identifying complications after surgery: Abdominal aortic aneurysm: diagnosis and management: Evidence review W[ 2020]Review Accuracy of imaging techniques in identifying complications after surgery: Abdominal aortic aneurysm: diagnosis and management: Evidence review W. 2020 Mar
- Review Contemporary imaging methods for the follow-up after endovascular abdominal aneurysm repair: a review.[Wideochir Inne Tech Maloinwazy...]Review Contemporary imaging methods for the follow-up after endovascular abdominal aneurysm repair: a review.Kazimierczak W, Serafin Z, Kazimierczak N, Ratajczak P, Leszczyński W, Bryl Ł, Lemanowicz A. Wideochir Inne Tech Maloinwazyjne. 2019 Jan; 14(1):1-11. Epub 2018 Oct 15.
- [Table, Review protocol for how frequently people should be monitored to detect ...[Table, Review protocol for how frequently people should be monitored to detect complications]. - Postoperative surveillance after surgical repair of abdominal aortic aneurysms
- Superfamily Member Links for Conserved Domains (Select 289191) (1)Conserved Domains
- Streptococcus salivarius strain gbc_o NODE_10_length_62082_cov_48.301654, whole ...Streptococcus salivarius strain gbc_o NODE_10_length_62082_cov_48.301654, whole genome shotgun sequencegi|2774301040|ref|NZ_JBCJJZ01000001 gnl|WGS:NZ_JBCJJZ01|NODE_10_length_62082_cov_48.301654Nucleotide
- Homo sapiens calcium voltage-gated channel subunit alpha1 C (CACNA1C), transcrip...Homo sapiens calcium voltage-gated channel subunit alpha1 C (CACNA1C), transcript variant 15, mRNAgi|1890327537|ref|NM_001129841.2|Nucleotide
- UNVERIFIED: Polygaloides vayredae tRNA-Gly and tRNA-Tyr genes, complete sequence...UNVERIFIED: Polygaloides vayredae tRNA-Gly and tRNA-Tyr genes, complete sequence; chloroplastgi|2452246941|gb|OM858461.1|Nucleotide
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