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Rationale and Benefits of Surveillance After Percutaneous Transluminal Angioplasty and Stenting of Iliac and Femoral Arteries

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Noninvasive Vascular Diagnosis

Abstract

Surveillance following lower extremity bypass, carotid endarterectomy, and endovascular aortic aneurysm repair has become the standard of care. Conversely, surveillance following lower extremity endovascular interventions is performed somewhat sporadically, in part because the duplex criteria for recurrent stenoses have been ill-defined. Duplex surveillance provides objective, hemodynamic, and anatomic data both pre and post intervention. It appears that duplex surveillance after peripheral endovascular interventions, as with conventional bypass, is beneficial in identifying recurrent lesions which when accompanied by reintervention may preclude failure and occlusion. Although not yet well-studied, it appears that applying routine surveillance following lower extremity endovascular interventions may assist in preventing failure of endovascular interventions.

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References

  1. Idu MM, Blankenstein JD, de Gier P, Truyen E, Buth J. Impact of a color-flow duplex surveillance program on infrainguinal vein graft patency: a five-year experience. J Vasc Surg. 1993;17(1):42–52.

    Article  PubMed  CAS  Google Scholar 

  2. Bandyk DF. Infrainguinal vein bypass graft surveillance: how to do it, when to intervene, and is it cost-effective? J Am Coll Surg. 2002;194(1 Suppl):S40–52.

    Article  PubMed  Google Scholar 

  3. Lundell A, Lindblad B, Bergqvist D, Hansen F. Femoropopliteal-crural graft patency is improved by an intensive surveillance program: a prospective randomized study. J Vasc Surg. 1995;21(1):26–33; discussion 33–4.

    Article  PubMed  CAS  Google Scholar 

  4. Mills Sr JL, Wixon CL, James DC, Devine J, Westerband A, Hughes JD. The natural history of intermediate and critical vein graft stenosis: recommendations for continued surveillance or repair. J Vasc Surg. 2001;33(2):273–8; discussion 278–80.

    Article  PubMed  Google Scholar 

  5. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG, TASC II Working Group. Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg. 2007;45(Suppl S):S5–67.

    Article  PubMed  Google Scholar 

  6. Henry M, Amor M, Ethevenot G, Henry I, Mentre B, Tzvetanov K. Percutaneous endoluminal treatment of iliac occlusions: long-term follow-up in 105 patients. J Endovasc Surg. 1998;5(3):228–35.

    Article  PubMed  CAS  Google Scholar 

  7. Indes JE, Mandawat A, Tuggle CT, Muhs B, Sosa JA. Endovascular procedures for aortoiliac occlusive disease are associated with superior short-term clinical and economic outcomes compared with open surgery in the inpatient population. J Vasc Surg. 2010;52(5):1173–9.

    Article  PubMed  Google Scholar 

  8. Leville CD, Kashyap VS, Clair DG, Bena JF, Lyden SP, Greenberg RK, O’Hara PJ, Sarac TP, Ouriel K. Endovascular management of iliac artery occlusions: extending treatment to TransAtlantic Inter-Society Consensus class C and D patients. J Vasc Surg. 2006;43(1):32–9.

    Article  PubMed  Google Scholar 

  9. Ferreira M, Lanziotti L, Monteiro M, Abuhadba G, Capotorto LF, Nolte L, Fearnot N. Superficial femoral artery recanalization with self-expanding nitinol stents: long-term follow-up results. Eur J Vasc Endovasc Surg. 2007;34(6):702–8.

    Article  PubMed  CAS  Google Scholar 

  10. Krankenberg H, Schlüter M, Steinkamp HJ, Bürgelin K, Scheinert D, Schulte KL, Minar E, Peeters P, Bosiers M, Tepe G, Reimers B, Mahler F, Tübler T, Zeller T. Nitinol stent implantation versus percutaneous transluminal angioplasty in superficial femoral artery lesions up to 10 cm in length: the femoral artery stenting trial (FAST). Circulation. 2007;116(3):285–92.

    Article  PubMed  CAS  Google Scholar 

  11. Schillinger M, Sabeti S, Loewe C, Dick P, Amighi J, Mlekusch W, Schlager O, Cejna M, Lammer J, Minar E. Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med. 2006;354(18):1879–88.

    Article  PubMed  CAS  Google Scholar 

  12. Surowiec SM, Davies MG, Eberly SW, Rhodes JM, Illig KA, Shortell CK, Lee DE, Waldman DL, Green RM. Percutaneous angioplasty and stenting of the superficial femoral artery. J Vasc Surg. 2005;41(2):269–78.

    Article  PubMed  Google Scholar 

  13. Schillinger M, Sabeti S, Dick P, Amighi J, Mlekusch W, Schlager O, et al. Sustained benefit at 2 years of primary femoropopliteal stenting compared with balloon angioplasty with optional stenting. Circulation. 2007;115(21):2745–9. Epub 2007 May 14.

    Article  PubMed  Google Scholar 

  14. Conrad MF, Cambria RP, Stone DH, Brewster DC, Kwolek CJ, Watkins MT, Chung TK, LaMuraglia GM. Intermediate results of percutaneous endovascular therapy of femoropopliteal occlusive disease: a contemporary series. J Vasc Surg. 2006;44(4):762–9.

    Article  PubMed  Google Scholar 

  15. Baril DT, Marone LK, Kim J, Go MR, Chaer RA, Rhee RY. Outcomes of endovascular interventions for TASC II B and C femoropopliteal lesions. J Vasc Surg. 2008;48(3):627–33.

    Article  PubMed  Google Scholar 

  16. Duda SH, Hosiers M, Lammer J, Scheinert D, Zeller T, Tielbeek A. Sirolimus-eluting versus bare nitinol stent for obstructive superficial femoral artery disease: the SIROCCO II trial. J Vasc Interv Radiol. 2005;16:331–8.

    Article  PubMed  Google Scholar 

  17. Baril DT, Rhee RY, Kim J, Makaroun MS, Chaer RA, Marone LK. Duplex criteria for determination of in-stent stenosis after angioplasty and stenting of the superficial femoral artery. J Vasc Surg. 2009;49(1):133–8; discussion 139.

    Article  PubMed  Google Scholar 

  18. Kasirajan K, Gray B, Beavers FP, Clair DG, Greenberg R, Mascha E, et al. Rheolytic thrombectomy in the management of acute and subacute limb-threatening ischemia. J Vasc Interv Radiol. 2001;12(4):413–21.

    Article  PubMed  CAS  Google Scholar 

  19. Sarac TP, Hilleman D, Arko FR, Zarins CK, Ouriel K. Clinical and economic evaluation of the trellis thrombectomy device for arterial occlusions: preliminary analysis. J Vasc Surg. 2004;39(3):556–9.

    Article  PubMed  Google Scholar 

  20. Tinder CN, Chavanpun JP, Bandyk DF, Armstrong PA, Back MR, Johnson BL, Shames ML. Efficacy of duplex ultrasound surveillance after infrainguinal vein bypass may be enhanced by identification of characteristics predictive of graft stenosis development. J Vasc Surg. 2008;48(3):613–8.

    Article  PubMed  Google Scholar 

  21. Ahn SS, Rutherford RB, Becker GJ, Comerota AJ, Johnston KW, McClean GK, Seeger JM, String ST, White RA, Whittemore AD, et al. Reporting standards for lower extremity arterial endovascular procedures. Society for Vascular Surgery/International Society for Cardiovascular Surgery. J Vasc Surg. 1993;17(6):1103–7.

    Article  PubMed  CAS  Google Scholar 

  22. Ringer AJ, German JW, Guterman LR, Hopkins LN. Follow-up of stented carotid arteries by Doppler ultrasound. Neurosurgery. 2002;51(3):639–43; discussion 643.

    PubMed  Google Scholar 

  23. Stanziale SF, Wholey MH, Boules TN, Selzer F, Makaroun MS. Determining in-stent stenosis of carotid arteries by duplex ultrasound criteria. J Endovasc Ther. 2005;12(3):346–53.

    Article  PubMed  Google Scholar 

  24. Humphries MD, Pevec WC, Laird JR, Yeo KK, Hedayati N, Dawson DL. Early duplex scanning after infrainguinal endovascular therapy. J Vasc Surg. 2011;53(2):353–8.

    Article  PubMed  Google Scholar 

  25. Ascher E, Marks NA, Hingorani AP, Schutzer RW, Mutyala M. Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral-popliteal arterial segment: a comparative study in the first 253 cases. J Vasc Surg. 2006;44(6):1230–7.

    Article  PubMed  Google Scholar 

  26. Back MR, Novotney M, Roth SM, Elkins D, Farber S, Cuthbertson D, Johnson BL, Bandyk DF. Utility of duplex surveillance following iliac artery angioplasty and primary stenting. J Endovasc Ther. 2001;8(6):629–37.

    Article  PubMed  CAS  Google Scholar 

  27. Kinney EV, Bandyk DF, Mewissen MW, Lanza D, Bergamini TM, Lipchik EO, Seabrook GR, Towne JB. Monitoring functional patency of percutaneous transluminal angioplasty. Arch Surg. 1991;126(6):743–7.

    Article  PubMed  CAS  Google Scholar 

  28. Myers KA, Wood SR, Lee V. Vascular ultrasound surveillance after endovascular intervention for occlusive iliac artery disease. Cardiovasc Surg. 2001;9(5):448–54.

    Article  PubMed  CAS  Google Scholar 

  29. Bakken AM, Palchik E, Hart JP, Rhodes JM, Saad WE, Davies MG. Impact of diabetes mellitus on outcomes of superficial femoral artery endoluminal interventions. J Vasc Surg. 2007;46(5):946–58; discussion 958.

    Article  PubMed  Google Scholar 

  30. DeRubertis BG, Pierce M, Ryer EJ, Trocciola S, Kent KC, Faries PL. Reduced primary patency rate in diabetic patients after percutaneous intervention results from more frequent presentation with limb-threatening ischemia. J Vasc Surg. 2008;47(1):101–8.

    Article  PubMed  Google Scholar 

  31. Jämsén TS, Manninen HI, Tulla HE, Jaakkola PA, Matsi PJ. Infrainguinal revascularization because of claudication: total long-term outcome of endovascular and surgical treatment. J Vasc Surg. 2003;37(4):808–15.

    Article  PubMed  Google Scholar 

  32. Ramaswami G, Tegos T, Nicolaides AN, Dhanjil S, Griffin M, Al-Kutoubi A, Belcaro G, Lewis J, Wilkins R, Davies MJ. Ultrasonic plaque character and outcome after lower limb angioplasty. J Vasc Surg. 1999;29(1):110–9. discussion 119–21.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Donald T. Baril M.D. .

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Baril, D.T., Marone, L.K. (2013). Rationale and Benefits of Surveillance After Percutaneous Transluminal Angioplasty and Stenting of Iliac and Femoral Arteries. In: AbuRahma, A., Bandyk, D. (eds) Noninvasive Vascular Diagnosis. Springer, London. https://doi.org/10.1007/978-1-4471-4005-4_26

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  • DOI: https://doi.org/10.1007/978-1-4471-4005-4_26

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