Follow-Up After Vascular Surgery Arterial Procedures
Key Points
Key Points
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
Diagnos...
...racranial Carotid A...
...carotid endarterectomy (CEA) or carotid artery st...
...r patients undergoing CAS with diabetes, a...
The SVS recommends that DUS after CAS include at...
...orphologic Patterns of ISR Based on B...
...imal Velocity Threshold Criteria for Varyin...
...cic and Abdominal Aor...
...ecommends contrast-enhanced CT scannin...
...VS recommends contrast-enhanced CT scanning at 1...
...SVS recommends contrast-enhanced CT...
...mmends CT scanning with or without...
...e SVS recommends contrast-enhanced CT scann...
...e SVS recommends DUS at 12-month intervals as...
...e SVS recommends DUS and non-contrast-enhanced...
...mmends total aortic imaging with non-c...
...teric Arteries
...ospective reports documenting the efficac...
...SVS suggests contrast imaging for patients wi...
...Arteries
...e no prospective reports documenting th...
...e SVS suggests contrast-enhanced imaging for loss...
...pen Lower Extremity Arterial Revascul...
...ommends clinical examination and ABI, with or w...
...high prevalence of abnormalities detected by...
...r prosthetic infrainguinal bypass gra...
...Velocity and ABI Threshold Criteria for Stratif...
...ower Extremity Arterial Revascularizatio...
...recommends clinical examination, ABI...
...uggests clinical examination, ABI, and DU...
...e SVS suggests clinical examination, ABI, a...