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.

Details

Serval ID
serval:BIB_E60B1D4AF008
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
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.
Journal
European journal of preventive cardiology
Author(s)
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 J.B., Aboyans V.
ISSN
2047-4881 (Electronic)
ISSN-L
2047-4873
Publication state
Published
Issued date
12/2019
Peer-reviewed
Oui
Volume
26
Number
18
Pages
1971-1984
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Peripheral arterial diseases comprise different clinical presentations, from cerebrovascular disease down to lower extremity artery disease, from subclinical to disabling symptoms and events. According to clinical presentation, the patient's general condition, anatomical location and extension of lesions, revascularisation may be needed in addition to best medical treatment. The 2017 European Society of Cardiology guidelines in collaboration with the European Society for Vascular Surgery have addressed the indications for revascularisation. While most cases are amenable to either endovascular or surgical revascularisation, maintaining long-term patency is often challenging. Early and late procedural complications, but also local and remote recurrences frequently lead to revascularisation failure. The rationale for surveillance is to propose the accurate implementation of preventive strategies to avoid other cardiovascular events and disease progression and avoid recurrence of symptoms and the need for redo revascularisation. Combined with vascular history and physical examination, duplex ultrasound scanning is the pivotal imaging technique for identifying revascularisation failures. Other non-invasive examinations (ankle and toe brachial index, computed tomography scan, magnetic resonance imaging) at regular intervals can optimise surveillance in specific settings. Currently, optimal revascularisation surveillance programmes are not well defined and systematic reviews addressing long-term results after revascularisation are lacking. We have systematically reviewed the literature addressing follow-up after revascularisation and we propose this consensus document as a complement to the recent guidelines for optimal surveillance of revascularised patients beyond the perioperative period.
Keywords
Revascularisation, follow-up, peripheral arterial disease, restenosis
Pubmed
Web of science
Open Access
Yes
Create date
02/11/2019 23:53
Last modification date
09/05/2020 6:26
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