Diagnosis
Open Lower Extremity Arterial Revascularization
➤ The SVS recommends clinical examination and ABI, with or without the
addition of DUS, in the early postoperative period to provide a baseline
for further followup after:
• aortobifemoral bypass
• iliofemoral bypass
• femoral-femoral bypass
• axillobifemoral bypass
This evaluation should be repeated at 6 and 12 months and then annually
as long as there are no new signs or symptoms. (1-C)
➤ Based on the high prevalence of abnormalities detected by DUS
as well as the relatively low associated cost and risks, the SVS
recommends clinical examination, ABI, and DUS for infrainguinal vein
graft surveillance. This should include an early postoperative baseline
evaluation and follow-up at 3, 6, and 12 months and at least annually
thereafter. (1-B)
More frequent surveillance may be considered when uncorrected abnormalities are
identified on DUS or when alternative vein conduits (other than great saphenous
vein) are used.
➤ After prosthetic infrainguinal bypass grafts, the SVS recommends
clinical examination and ABI, with or without the addition of DUS, in the
early postoperative period to provide a baseline for further follow-up.
This evaluation should be repeated at 6 and 12 months and then annually
as long as there are no new signs or symptoms. (1-B)
