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...
...cranial Carotid Arte...
...ter carotid endarterectomy (CEA) or...
...undergoing CAS with diabetes, aggressive...
...VS recommends that DUS after CAS inclu...
...1. Morphologic Patterns of ISR Based on...
...ptimal Velocity Threshold Criteria for Varying Sev...
Thoracic and Abdominal Aor...
...e SVS recommends contrast-enhanced CT scan...
...e SVS recommends contrast-enhanced CT scanning at...
...SVS recommends contrast-enhanced CT scan...
...he SVS recommends CT scanning with or wi...
...e SVS recommends contrast-enhanced CT...
...mends DUS at 12-month intervals as altern...
...mends DUS and non-contrast-enhanced CT scannin...
...recommends total aortic imaging with non...
...esenteric Arte...
...no prospective reports documenting th...
...suggests contrast imaging for patients wit...
...Arteries...
...are no prospective reports documenting the effica...
The SVS suggests contrast-enhanced imaging for los...
...remity Arterial Revascularization...
...SVS recommends clinical examination and ABI...
...ed on the high prevalence of abnormalities de...
...fter prosthetic infrainguinal bypass gr...
...ble 2. DUS Velocity and ABI Thresh...
...er Extremity Arterial Revascularizatio...
...ends clinical examination, ABI, and...
...e SVS suggests clinical examination, ABI, and D...
...ests clinical examination, ABI, an...