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Duplex Ultrasound Surveillance Can Be Worthwhile After Arterial Intervention

Division of Vascular & Endovascular Surgery, University of South Florida College of Medicine, Tampa, Florida, dbandyk{at}health.usf.edu

Joe P. Chauvapun, MD

Division of Vascular & Endovascular Surgery, University of South Florida College of Medicine, Tampa, Florida

A surveillance program based on duplex ultrasound testing after peripheral arterial intervention can increase long-term patency by identifying and by repairing clinical significant lesions. Its successful application requires numerous conditions regarding pathobiology of arterial repair failure and its consequences, arterial testing expertise, and durability of secondary procedures used to repair duplex-detected lesions. The methodology of surveillance should be tailored to the type of arterial intervention. Clinical reports on the efficacy of duplex ultrasound surveillance have supported its routine use, but controversy of cost-effectiveness remains. Duplex surveillance will decrease procedural primary patency, but when successful, the primary-assisted and secondary patency rates should be significantly higher than the rates when no surveillance was performed. An examination of the primary, primary-assisted, and secondary patency rates of an arterial procedure will indicate the benefit (or lack of benefit) of a surveillance program and the appropriateness of the threshold criteria used for secondary interventions

Key Words: duplex ultrasound • surveillance

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 19, No. 4, 354-359 (2007)
DOI: 10.1177/1531003507311681


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Bandyk, D. F. Articles by Chauvapun, J. P. Search for Related Content PubMed PubMed Citation Articles by Bandyk, D. F. Articles by Chauvapun, J. P. Social Bookmarking                         What's this?