The Society for Vascular Surgery practice guidelines on follow-up after vascular surgery arterial procedures

Although follow-up after open surgical and endovascular procedures is generally regarded as an important part of the care provided by vascular surgeons, there are no detailed or comprehensive guidelines that specify the optimal approaches with regard to testing methods, indications for reinterventio...

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Vydané v:Journal of vascular surgery Ročník 68; číslo 1; s. 256
Hlavní autori: Zierler, R Eugene, Jordan, William D, Lal, Brajesh K, Mussa, Firas, Leers, Steven, Fulton, Joseph, Pevec, William, Hill, Andrew, Murad, M Hassan
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.07.2018
Predmet:
Arteries - diagnostic imaging
Arteries - surgery
Consensus
Evidence-Based Medicine - standards
Humans
Postoperative Complications - diagnostic imaging
Postoperative Complications - epidemiology
Postoperative Complications - therapy
Predictive Value of Tests
Risk Factors
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex - standards
Vascular Diseases - diagnostic imaging
Vascular Diseases - surgery
Vascular Surgical Procedures - adverse effects
Duplex imaging
Clinical guidelines
Postoperative follow-up
Surveillance
ISSN:1097-6809, 1097-6809
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Popis
Shrnutí:Although follow-up after open surgical and endovascular procedures is generally regarded as an important part of the care provided by vascular surgeons, there are no detailed or comprehensive guidelines that specify the optimal approaches with regard to testing methods, indications for reintervention, and follow-up intervals. To provide guidance to the vascular surgeon, the Clinical Practice Council of the Society for Vascular Surgery appointed an expert panel and a methodologist to review the current clinical evidence and to develop recommendations for follow-up after vascular surgery procedures. For those procedures for which high-quality evidence was not available, recommendations were based on observational studies, committee consensus, and indirect evidence. Recognizing that there are numerous published reports on the role of duplex ultrasound for surveillance of infrainguinal vein bypass grafts, the Society commissioned a systematic review and meta-analysis on this topic. The panel classified the strength of each recommendation and the corresponding quality of evidence on the basis of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system: recommendations were graded either strong or weak, and the quality of evidence was graded high, moderate, or low. The resulting recommendations represent a wide variety of open surgical and endovascular procedures involving the extracranial carotid artery, thoracic and abdominal aorta, mesenteric and renal arteries, and lower extremity arterial revascularization. The panel also identified many areas in which there was a lack of high-quality evidence to support their recommendations. This suggests that there are opportunities for further clinical research on testing methods, threshold criteria, and the role of surveillance as well as on the modes of failure and indications for reintervention after vascular surgery procedures.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Instructional Material/Guideline-3
ObjectType-Review-4
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ObjectType-Feature-2
ISSN:1097-6809
1097-6809
DOI:10.1016/j.jvs.2018.04.018