Patient Compliance with Surveillance Following Elective Endovascular Aneurysm Repair

Cardiovascular and Interventional Radiology
Anthony D GodfreyIan M Nordon

Abstract

Integral to maintaining good outcomes post-endovascular aneurysm repair (EVAR) is a robust surveillance protocol. A significant proportion of patients fail to comply with surveillance, exposing themselves to complications. We examine EVAR surveillance in Wessex (UK), exploring factors that may predict poor compliance. Retrospective analysis of 179 consecutive elective EVAR cases [2008-2013] was performed. 167 patients were male, with the age range of 50-95. Surveillance was conducted centrally (tertiary referral trauma centre) and at four spoke units. Surveillance compliance and predictors of non-compliance including age, gender, co-morbid status, residential location and socioeconomic status were analysed for univariate significance. Fifty patients (27.9 %) were non-compliant with surveillance; 14 (8.1 %) had no imaging post-EVAR. At 1 year, 56.1 % (of 123 patients) were compliant. At years 2 and 3, 41.5 and 41.2 % (of 65 and 34 patients, respectively) were compliant. Four years post-EVAR, only one of eight attended surveillance (12.5 %). There were no statistically significant differences in age (p = 0.77), co-morbid status or gender (p = 0.64). Distance to central unit (p = 0.67) and surveillance site (p = 0.56) was non-sign...Continue Reading

References

Jul 14, 2005·Journal of Vascular Surgery·UNKNOWN Lifeline Registry of EVAR Publications Committee
Sep 1, 2006·Digestive Diseases and Sciences·Meli MorYaron Niv
Sep 11, 2007·Journal of Vascular Surgery·Wesley B JonesJerry R Youkey
Nov 27, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I M NordonM M Thompson
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Peter J E HoltMatt M Thompson
May 3, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J A van der VlietF van Hoek
Jul 26, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A KarthikesalingamP J E Holt
Oct 23, 2013·General Thoracic and Cardiovascular Surgery·Naoki ToyaTakao Ohki
Dec 24, 2013·Journal of Vascular Surgery·Wei ZhouJin Hyun Joh

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Citations

May 30, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sylvana M L de MikRon Balm
Jan 9, 2018·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Matthew Joe GrimaPeter Holt

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