23
Summary of Recommendations
Recommendation
Grade/
LOE
10.10 Offer intervention for DUS-detected vein gra lesions with an
associated PSV of >300 cm/s and a PSV ratio >3.5 or gras with low
velocity (midgra PSV <45 cm/s) to maintain patency.
1-B
10.11 Maintain long-term surveillance aer surgical or catheter-based
revision of a vein gra, including DUS gra scanning where available,
to detect recurrent gra-threatening lesions.
1-B
10.12 Consider arterial imaging aer endovascular intervention for failure
to improve (wound healing, rest pain) or a recurrence of symptoms to
detect restenosis or progression of pre-existing disease.
2-C
10.13 Consider reintervention for patients with DUS-detected restenosis
lesions >70% (PSV ratio >3.5, PSV >300 cm/s) if symptoms of CLTI
are unresolved or on a selective basis in asymptomatic patients aer
catheter-based interventions.
2-C
10.14 Provide mechanical ooading as a primary component for care of all
CLTI patients with pedal wounds.
1-A
10.15 Provide counseling on continued protection of the healed wound
and foot to include appropriate shoes, insoles, and monitoring of
inflammation.
1-A