What are the SVS guidelines for surveillance after intervention for intermittent claudication (IC) in peripheral arterial occlusive disease (PAOD)?

Updated: Sep 12, 2019
  • Author: Josefina A Dominguez, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Recommendations for surveillance after intervention for IC include the following:

  • Patients treated with open surgery or EVT for IC should be monitored with a clinical surveillance program that consists of an interval history to detect new symptoms, ensure compliance with medical therapies, and record subjective functional improvements; pulse examination; and measurement of resting and, if possible, postexercise ABIs (grade 2 recommendation; evidence level C).
  • Patients treated with lower-extremity vein grafts for IC should be monitored with a surveillance program consisting of clinical follow-up and DUS (grade 2 recommendation; evidence level C).
  • Patients who have previously undergone vein bypass surgery for IC and have developed a significant graft stenosis on DUS should be considered for prophylactic reintervention (open or endovascular) to promote long-term bypass graft patency (grade 1 recommendation; evidence level C).

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