SURGICAL PROCEDURES

Society for Vascular Surgery Issues New Guidelines

July 10, 2018

The Society for Vascular Surgery (SVS) has published new practice guidelines for follow-up on various open and endovascular arterial procedures.

A total of 24 guidelines were issued. Of these, 16 were strong recommendations, and the remaining 8 were weak suggestions of the writing committee.


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Prior to publication, the new guidelines were thoroughly reviewed and endorsed by the SVS Document Oversight Committee after a period of public comments.

In their statement, the SVS recommends the following:

  • Baseline duplex ultrasound should be performed within 3 months after carotid intervention, followed by every 6 months for 2 years and once per year thereafter until deemed stable.
  • Following endovascular aortic repair, contrast-enhanced computer tomographic scanning should be performed at 1 and 12 months. More frequent imaging should be considered if an endoleak or other abnormality is detected at 1 month.
    • Duplex ultrasound should be performed at 12-month intervals if no endoleak or sac enlargement was detected during the first year after the procedure.

The guideline also addresses follow-up after thoracic, aortoiliac, infrainguinal, mesenteric, and renal reconstructions.

To view the full recommendation statement, click here.

—Christina Vogt

Reference:

Lawrence PF, Gloviczki P. The Society for Vascular Surgery practice guidelines on follow-up after vascular surgery arterial procedures. J Vasc Surg. 2018;68(1):1. https://doi.org/10.1016/j.jvs.2018.05.012