2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease

. Author manuscript; available in PMC: 2023 Dec 13.

Published in final edited form as: J Am Coll Cardiol. 2022 Nov 2;80(24):e223–e393. doi: 10.1016/j.jacc.2022.08.004

Recommendations for Surveillance After TAA Repair

Referenced studies that support the recommendations are summarized in the Online Data Supplement.

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.^1–5
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 allergy.^6–9
2a	B-NR	3. In patients treated with open repair of the thoracic aorta without residual aortopathy, suiveillance imaging with a CT or MRI within 1 year postoperatively and then every 5 years thereafter is reasonable.^10–14
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.