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
...agnosi...
...ial Carotid Artery...
...otid endarterectomy (CEA) or carot...
...undergoing CAS with diabetes, aggressive patterns...
...recommends that DUS after CAS include at...
...1. Morphologic Patterns of ISR Based on B-mod...
...Velocity Threshold Criteria for Varying Severity...
Thoracic and Abdomi...
...ds contrast-enhanced CT scanning at 1 mont...
...e SVS recommends contrast-enhanced CT scanni...
The SVS recommends contrast-enhanced CT scannin...
The SVS recommends CT scanning with or wi...
...ommends contrast-enhanced CT scannin...
...ends DUS at 12-month intervals as alternative ima...
...commends DUS and non-contrast-enhanced CT sca...
...e SVS recommends total aortic imaging with...
...senteric Arteries...
...o prospective reports documenting the efficacy...
The SVS suggests contrast imaging for patients...
...l Arteries
...are no prospective reports documenting the effi...
...uggests contrast-enhanced imaging for loss o...
...Extremity Arterial Revascularizati...
...SVS recommends clinical examination and...
...ed on the high prevalence of abnormalities...
...fter prosthetic infrainguinal bypass grafts,...
...DUS Velocity and ABI Threshold Criteria for Str...
...ascular Lower Extremity Arterial Revasc...
...VS recommends clinical examination, AB...
...suggests clinical examination, ABI, and DUS with...
...sts clinical examination, ABI, and DUS within t...