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

R. Eugene Zierler, William D. Jordan, Brajesh K. Lal, Firas Mussa, Steven Leers, Joseph Fulton, William Pevec, Andrew Hill, M. Hassan Murad

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)256-284
Number of pages29
JournalJournal of vascular surgery
Issue number1
StatePublished - Jul 2018


  • Clinical guidelines
  • Duplex imaging
  • Postoperative follow-up
  • Surveillance

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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