Adherence to Society for Vascular Surgery Guidelines for Claudication in the Society for Vascular Surgery Vascular Quality Initiative

Current Society for Vascular Surgery (SVS) guidelines recommend 51 specific factors related to the management of intermittent claudication as quality measures. It was objective this study assess rates adherence these patients treated with suprainguinal or infrainguinal bypass percutaneous vascular intervention and determine if associated a difference in periprocedural outcomes. All from SVS Quality Initiative (VQI) undergoing (INFRA), (SUPRA), (PVI) 2018 were included. Nonelective procedures other than chronic atherosclerotic disease excluded. The each assessable guideline evaluated. For outcomes analysis, individuals classified “adherent” vs not compared. Of recommendations, 12 could be evaluated using VQI registries; included first-line ankle-brachial index, smoking cessation, statin therapy, antiplatelet therapy aspirin, optimal medical after intervention, anatomic imaging studies before optimizing diabetes control, Plavix second-line antiplatelet, adjunct stenting intermediate superficial femoral artery lesions, annual follow-up, covered stents treatment aortoiliac disease, no recommended endovascular isolated infrapopliteal disease. overall “adherence” 38.2% INFRA, 17.1% SUPRA, 32.2% PVI. There surprising number tibial (n = 1431, 3.1%) pedal 12, 0.03%) interventions performed claudication. 784 bypasses (19.3%), 30 (0.7%) at ankle, 2 which tarsal/plantar appears that most part, there do seem important clinical differences based on definition all assessed. Among such survival (Fig 1), time amputation 2), primary patency 3), reoperation/reintervention occlusion 4) PVI, between meeting those adherent Overall are low may an opportunity improvement patient An absence noted reflect unmeasured selection Adding more recommendations registry serve future focus projects.