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dc.contributor.authorExpert Panels on Vascular Imaging and Interventional Radiology
dc.contributor.authorBonci, Gregory
dc.contributor.authorSteigner, Michael L.
dc.contributor.authorHanley, Michael
dc.contributor.authorBraun, Aaron R.
dc.contributor.authorDesjardins, Benoit
dc.contributor.authorGaba, Ron C.
dc.contributor.authorGage, Kenneth L.
dc.contributor.authorMatsumura, Jon S.
dc.contributor.authorRoselli, Eric E.
dc.contributor.authorSella, David M.
dc.contributor.authorStrax, Richard
dc.contributor.authorVerma, Nupur
dc.contributor.authorWeiss, Clifford R.
dc.contributor.authorDill, Karin E.
dc.date2022-08-11T08:10:47.000
dc.date.accessioned2022-08-23T17:20:12Z
dc.date.available2022-08-23T17:20:12Z
dc.date.issued2017-11-01
dc.date.submitted2018-01-03
dc.identifier.citationJ Am Coll Radiol. 2017 Nov;14(11S):S570-S583. doi: 10.1016/j.jacr.2017.08.042. <a href="https://doi.org/10.1016/j.jacr.2017.08.042">Link to article on publisher's site</a>
dc.identifier.issn1546-1440 (Linking)
dc.identifier.doi10.1016/j.jacr.2017.08.042
dc.identifier.pmid29101994
dc.identifier.urihttp://hdl.handle.net/20.500.14038/48251
dc.description.abstractThoracic endovascular aortic repair (TEVAR) has undergone rapid evolution and is now applied to a range of aortic pathologies. Imaging plays a vital role in the pre- and postintervention assessment of TEVAR patients. Accurate characterization of pathology and evaluation for high-risk anatomic features are necessary in the planning phase, and careful assessment for graft stability, aortic lumen diameter, and presence of endoleak are paramount in the follow-up period. CTA is the imaging modality of choice for pre- and postintervention assessment, and MRA is an acceptable alternative depending on patient stability and graft composition. Lifelong imaging follow-up is necessary in TEVAR patients because endoleaks may develop at any time. The exact surveillance interval is unclear and may be procedure and patient specific. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29101994&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1016/j.jacr.2017.08.042
dc.subjectAUC
dc.subjectAcute aortic syndrome
dc.subjectAneurysm
dc.subjectAppropriate Use Criteria
dc.subjectAppropriateness Criteria
dc.subjectCTA
dc.subjectEndoleak
dc.subjectEndovascular repair
dc.subjectMRA
dc.subjectCardiovascular Diseases
dc.subjectRadiology
dc.subjectSurgery
dc.titleACR Appropriateness Criteria((R)) Thoracic Aorta Interventional Planning and Follow-Up
dc.typeJournal Article
dc.source.journaltitleJournal of the American College of Radiology : JACR
dc.source.volume14
dc.source.issue11S
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/radiology_pubs/363
dc.identifier.contextkey11314509
html.description.abstract<p>Thoracic endovascular aortic repair (TEVAR) has undergone rapid evolution and is now applied to a range of aortic pathologies. Imaging plays a vital role in the pre- and postintervention assessment of TEVAR patients. Accurate characterization of pathology and evaluation for high-risk anatomic features are necessary in the planning phase, and careful assessment for graft stability, aortic lumen diameter, and presence of endoleak are paramount in the follow-up period. CTA is the imaging modality of choice for pre- and postintervention assessment, and MRA is an acceptable alternative depending on patient stability and graft composition. Lifelong imaging follow-up is necessary in TEVAR patients because endoleaks may develop at any time. The exact surveillance interval is unclear and may be procedure and patient specific. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.</p>
dc.identifier.submissionpathradiology_pubs/363
dc.contributor.departmentDepartment of Radiology
dc.source.pagesS570-S583


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