Follow-Up After Vascular Surgery Arterial Procedures

Publication Date: July 2, 2018

Key Points

Key Points

All vascular procedures have modes of failure that must be identified and managed appropriately to provide the best possible long-term results.

It is generally accepted that achieving optimal outcomes from open surgical and endovascular procedures depends on periodic follow-up and appropriate reintervention.

The options for follow-up range from a simple vascular history and physical examination (often including ankle-brachial index [ABI] measurement for procedures involving the lower extremity arteries) to sophisticated imaging methods such as computed tomography (CT) or magnetic resonance (MR) angiography and more invasive catheter angiography.

Noninvasive vascular laboratory tests, particularly duplex ultrasound (DUS), are ideally suited for this purpose because they are safe and relatively low in cost, and they provide objective anatomic and physiologic information that can be used to assess the durability of a vascular intervention over time.

The goal of routine surveillance is to identify intervention sites that are at risk for failure, even in the absence of signs or symptoms. However, this approach is justified only if the consequences of failure are severe and early reintervention can improve the outcome.

Additional requirements are the availability of accurate testing methods with clinically relevant threshold criteria and appropriate follow-up or testing intervals.

Diagnosis

...iagnosis...

...cranial Carotid Artery...

...ter carotid endarterectomy (CEA) or caro...

...ts undergoing CAS with diabetes, ag...

The SVS recommends that DUS after CAS i...

...rphologic Patterns of ISR Based on B-...

.... Optimal Velocity Threshold Criteria...


...horacic and Abdominal Aort...

...mmends contrast-enhanced CT scanning at 1...

...VS recommends contrast-enhanced CT scanning at...

...VS recommends contrast-enhanced CT sca...

...commends CT scanning with or without con...

...mmends contrast-enhanced CT scanning at 1...

...commends DUS at 12-month intervals as alt...

The SVS recommends DUS and non-contrast-enhanced...

...SVS recommends total aortic imaging w...


...nteric Arteries...

...ospective reports documenting the efficacy of a s...

...sts contrast imaging for patients with...


Renal Arteries...

...prospective reports documenting the effi...

...suggests contrast-enhanced imaging for...


...en Lower Extremity Arterial Revascular...

...ds clinical examination and ABI, with...

...high prevalence of abnormalities d...

...infrainguinal bypass grafts, the SVS recommends c...

...le 2. DUS Velocity and ABI Threshold Criteria f...


...ower Extremity Arterial Revascularizat...

...SVS recommends clinical examination, ABI, and...

...uggests clinical examination, ABI,...

The SVS suggests clinical examination, AB...