Skip to main content

Follow-Up and Surveillance After Peripheral Interventions

  • Chapter
  • First Online:
Mastering Endovascular Techniques

Abstract

Surveillance after endovascular peripheral interventions is integral to quality patient care. The combination of regular clinical assessment along with ankle/brachial index (ABI) measurements and Duplex US can reliably detect and characterize any complications as well as the severity of potential recurrent stenosis. This allows for early and safe reintervention before any progression to vessel occlusion, thereby extending angioplasty or stent site patency and preventing significant limb events, such as acute limb ischemia and amputation. Nevertheless, the guidelines clearly show that there is a need for better clinical evidence on follow-up to determine the modes of endovascular intervention failure, the optimal intensity, most appropriate modalities, and the impact of surveillance on patient outcomes, as well as the indications for reintervention.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wong KHF, Zucker BE, Wardle BG, Coughlin PA, Chaplin K, Cheng HY, Hinchliffe RJ, Twine CP, Ambler GK. Systematic review and narrative synthesis of surveillance practices after endovascular intervention for lower limb peripheral arterial disease. J Vasc Surg. 2022;75(1):372–380.e15. https://doi.org/10.1016/j.jvs.2021.08.062. Epub 2021 Nov 24

    Article  PubMed  Google Scholar 

  2. Sobieszczyk P, Eisenhauer A. Management of patients after endovascular interventions for peripheral artery disease. Circulation. 2013;128(7):749–57. https://doi.org/10.1161/CIRCULATIONAHA.113.001560.

    Article  PubMed  Google Scholar 

  3. Zierler RE, Jordan WD, Lal BK, Mussa F, Leers S, Fulton J, Pevec W, Hill A, Murad MH. The Society for Vascular Surgery practice guidelines on follow-up after vascular surgery arterial procedures [Erratum in: J Vasc Surg 2018 Nov;68(5):1623]. J Vasc Surg. 2018;68(1):256–84. https://doi.org/10.1016/j.jvs.2018.04.018.

    Article  PubMed  Google Scholar 

  4. Venermo M, Sprynger M, Desormais I, Björck M, Brodmann M, Cohnert T, De Carlo M, Espinola-Klein C, Kownator S, Mazzolai L, Naylor R, Vlachopoulos C, Ricco JB, Aboyans V. Editor’s choice—follow-up of patients after revascularisation for peripheral arterial diseases: a consensus document from the European Society of Cardiology Working Group on aorta and peripheral vascular diseases and the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg. 2019;58(5):641–53. https://doi.org/10.1016/j.ejvs.2019.06.017.

    Article  PubMed  Google Scholar 

  5. Brooke BS, Beck AW, Kraiss LW, Hoel AW, Austin AM, Ghaffarian AA, Cronenwett JL, Goodney PP. Association of quality improvement registry participation with appropriate follow-up after vascular procedures. JAMA Surg. 2018;153(3):216–23. https://doi.org/10.1001/jamasurg.2017.3942. PMID: 29049809; PMCID: PMC5885932

    Article  PubMed  Google Scholar 

  6. Austin AM, Chakraborti G, Columbo J, Ramkumar N, Moore K, Scheurich M, Goodney P. Outcomes after peripheral artery disease intervention among Medicare–Medicaid dual-eligible patients compared with the general medicare population in the Vascular Quality Initiative registry. BMJ Surg Interv Health Technol. 2019;1(1):e000018. https://doi.org/10.1136/bmjsit-2019-000018.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Wang GJ, Judelson DR, Goodney PP, Bertges DJ. Loss to follow-up 1 year after lower extremity peripheral vascular intervention is associated with worse survival. Vasc Med. 2019;24(4):332–8. https://doi.org/10.1177/1358863X19853622. Epub 2019 Jun 13

    Article  PubMed  Google Scholar 

  8. Bradaric C, Koppara T, Müller A, Haller B, Ott I, Cassese S, Fusaro M, Kastrati A, Laugwitz KL, Ibrahim T. Incidence and predictors of stent thrombosis after endovascular revascularisation of the superficial femoral artery. EuroIntervention. 2019;15(12):e1107–14. https://doi.org/10.4244/EIJ-D-19-00187.

    Article  PubMed  Google Scholar 

  9. Qato K, Conway AM, Mondry L, Giangola G, Carroccio A. Management of isolated femoropopliteal in-stent restenosis. J Vasc Surg. 2018;68(3):807–10. https://doi.org/10.1016/j.jvs.2018.01.030.

    Article  PubMed  Google Scholar 

  10. Biscetti F, Nardella E, Rando MM, Cecchini AL, Gasbarrini A, Massetti M, Flex A. Outcomes of lower extremity endovascular revascularization: potential predictors and prevention strategies. Int J Mol Sci. 2021;22(4):2002. https://doi.org/10.3390/ijms22042002.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, Mills JL, Ricco JB, Suresh KR, Murad MH, Aboyans V, Aksoy M, Alexandrescu VA, Armstrong D, Azuma N, Belch J, Bergoeing M, Bjorck M, Chakfé N, Cheng S, Dawson J, Debus ES, Dueck A, Duval S, Eckstein HH, Ferraresi R, Gambhir R, Gargiulo M, Geraghty P, Goode S, Gray B, Guo W, Gupta PC, Hinchliffe R, Jetty P, Komori K, Lavery L, Liang W, Lookstein R, Menard M, Misra S, Miyata T, Moneta G, Munoa Prado JA, Munoz A, Paolini JE, Patel M, Pomposelli F, Powell R, Robless P, Rogers L, Schanzer A, Schneider P, Taylor S, De Ceniga MV, Veller M, Vermassen F, Wang J, Wang S, GVG Writing Group for the Joint Guidelines of the Society for Vascular Surgery (SVS), European Society for Vascular Surgery (ESVS), and World Federation of Vascular Societies (WFVS). Global vascular guidelines on the management of chronic limb-threatening ischemia [Erratum in: Eur J Vasc Endovasc Surg. 2020 Mar;59(3):492–493. Erratum in: Eur J Vasc Endovasc Surg. 2020 Jul;60(1):158–159]. Eur J Vasc Endovasc Surg. 2019;58(1S):S1–S109.e33. https://doi.org/10.1016/j.ejvs.2019.05.006. Epub 2019 Jun 8

    Article  PubMed  PubMed Central  Google Scholar 

  12. Leithead C, Novak Z, Spangler E, Passman MA, Witcher A, Patterson MA, Beck AW, Pearce BJ. Importance of postprocedural wound, ischemia, and foot infection (WIfI) restaging in predicting limb salvage. J Vasc Surg. 2018;67(2):498–505. https://doi.org/10.1016/j.jvs.2017.07.109. Epub 2017 Sep 22

    Article  PubMed  Google Scholar 

  13. Draxler MS, Al-Adas Z, Abbas D, Kavousi Y, Kabbani LS, Lin JC, Weaver MR, Shepard AD, Nypaver TJ. Outcome benefit of arterial duplex stent imaging after superficial femoral artery stent implantation. J Vasc Surg. 2021;73(1):179–88. https://doi.org/10.1016/j.jvs.2020.02.055. Epub 2020 May 8

    Article  PubMed  Google Scholar 

  14. Spronk S, den Hoed PT, de Jonge LC, van Dijk LC, Pattynama PM. Value of the duplex waveform at the common femoral artery for diagnosing obstructive aortoiliac disease. J Vasc Surg. 2005;42(2):236–42.; discussion 242. https://doi.org/10.1016/j.jvs.2005.04.048.

    Article  PubMed  Google Scholar 

  15. Troutman DA, Madden NJ, Dougherty MJ, Calligaro KD. Duplex ultrasound diagnosis of failing stent grafts placed for occlusive disease. J Vasc Surg. 2014;60(6):1580–4. https://doi.org/10.1016/j.jvs.2014.08.071. Epub 2014 Sep 22

    Article  PubMed  Google Scholar 

  16. Zheng H, Calligaro KD, Jang J, Tyagi S, Madden N, Troutman DA, Dougherty MJ. Duplex ultrasound for diagnosis of failing stents placed for lower extremity arterial occlusive disease. Ann Vasc Surg. 2020;63:269–74. https://doi.org/10.1016/j.avsg.2019.08.086. Epub 2019 Oct 15

    Article  PubMed  Google Scholar 

  17. Baril DT, Rhee RY, Kim J, Makaroun MS, Chaer RA, Marone LK. Duplex criteria for determination of in-stent stenosis after angioplasty and stenting of the superficial femoral artery. J Vasc Surg. 2009;49(1):133–8. https://doi.org/10.1016/j.jvs.2008.09.046.

    Article  PubMed  Google Scholar 

  18. Velescu A, Mateos Torres E, Clará Velasco A. Predictors of medium-term patency in percutaneous endovascular therapy of femoro-popliteal lesions. Cir Esp. 2015;93(2):105–9. https://doi.org/10.1016/j.ciresp.2014.04.011. Epub 2014 Jun 12

    Article  PubMed  Google Scholar 

  19. Kavaliauskienė Z, Benetis R, Inčiūra D, Aleksynas N, Kaupas RS, Antuševas A. Factors affecting primary patency of stenting for TransAtlantic Inter-Society (TASC II) type B, C, and D iliac occlusive disease. Medicina (Kaunas). 2014;50(5):287–94. https://doi.org/10.1016/j.medici.2014.10.003. Epub 2014 Oct 29

    Article  PubMed  Google Scholar 

  20. Noh BG, Park YM, Choi JB, Lee BC, Lee SS, Jung HJ. Influence of infrapopliteal runoff vessels on primary patency after superficial femoral artery angioplasty with stenting in patients with claudication. Vasc Specialist Int. 2020;36(4):233–40. https://doi.org/10.5758/vsi.200056.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Fernandez N, McEnaney R, Marone LK, Rhee RY, Leers S, Makaroun M, Chaer RA. Predictors of failure and success of tibial interventions for critical limb ischemia. J Vasc Surg. 2010;52(4):834–42. https://doi.org/10.1016/j.jvs.2010.04.070.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Baer-Bositis HE, Hicks TD, Haidar GM, Sideman MJ, Pounds LL, Davies MG. Outcomes of tibial endovascular intervention in patients with poor pedal runoff. J Vasc Surg. 2018;67(6):1788–1796.e2. https://doi.org/10.1016/j.jvs.2017.09.033. Epub 2017 Dec 13

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Volteas, P., Labropoulos, N. (2024). Follow-Up and Surveillance After Peripheral Interventions. In: Geroulakos, G., Avgerinos, E., Becquemin, J.P., Makris, G.C., Froio, A. (eds) Mastering Endovascular Techniques. Springer, Cham. https://doi.org/10.1007/978-3-031-42735-0_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-42735-0_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-42734-3

  • Online ISBN: 978-3-031-42735-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics