The Results of High-Frequency Duplex Surveillance After Iliac Arterial Stenting in a Single Center

Author:

Al Samaraee Ahmad1,McCallum Iain2,Cairns Tom2,Barakat Tarig2,Carew Melvin2,Nice Colin2,Mudawi Ahmed2,Ashour Hamdy2

Affiliation:

1. Department of General & Vascular Surgery, Queen Elizabeth Hospital, Sheriff hill, Gateshead, NE9 6SX, UK,

2. Department of General & Vascular Surgery, Queen Elizabeth Hospital, Sheriff hill, Gateshead, NE9 6SX, UK

Abstract

Frequent duplex surveillance after iliac arterial stenting is time-consuming and costly, so solid benefits of this approach must be available. Frequent duplex surveillance was performed at our center, this was reviewed retrospectively.A total of 117 stents were assessed. Duplex was done for 84 (71.8%) of 117 patients at 1 year and 25 (21.4%) of 117 at 5 years, mean follow-up 27.6 months. Totally, 456 scans were performed; 386 (84.6%) scans were normal, 43 (9.4%) showed an abnormality for which intervention was not necessary, 27 (5.9%) showed abnormalities which needed interventions. The maximum attendance of patients was 62%. In all, 18 patients had interventions unrelated to scheduled follow-up; 15 (83.3%) of 18 had no prior abnormalities on duplex, 3 (16.6%) of 18 had prior abnormalities which were not acted upon after clinical assessment. Our findings demonstrate a high nonattendance rate with frequent emergency presentations due to acute complications. We cannot, therefore, recommend frequent duplex surveillance program both in terms of results or resource allocation.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

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