Τίτλος:
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
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Venermo, Maarit
Sprynger, Muriel
Desormais, Ileana
Bjorck,
Martin
Brodmann, Marianne
Cohnert, Tina
Carlo, Marco De and
Espinola-Klein, Christine
Kownator, Serge
Mazzolai, Lucia and
Naylor, Ross
Vlachopoulos, Charalambos
Ricco, Jean-Baptiste and
Aboyans, Victor
Περιοδικό:
European Journal of Preventive Cardiology
Εκδότης:
SAGE Publications Ltd
Λέξεις-κλειδιά:
Revascularisation; peripheral arterial disease; follow-up; restenosis
DOI:
10.1177/2047487319846999
