Abstract

The International Risk Stratification in Endovascular Aneurysm Repair (IRIS-EVAR) working group have conducted a robust meta-analysis to fuel the ongoing debate on the benefits of EVAR surveillance.1 The meta-analysis showed that, from a cohort of 13 studies with a total of 22 762 patients, compliance with EVAR surveillance was poor, as 43% of patients did not attend one or more imaging follow up scan appointments. Furthermore, there was no statistically significant difference in survival, aneurysm related mortality, re-intervention, or rupture rates between compliant and non-compliant patients.

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