About the PMG

Introduction

The Society for Vascular Surgery® (SVS) is committed to advancing excellence and innovation in vascular health through education, advocacy, research, and public awareness. To that end, the SVS is proud to release its Management Guide on the Perioperative Care of Patients with Vascular Disease, which provides a multidisciplinary resource for the perioperative care of patients with vascular disease who require an intervention. The Management Guide is designed to inform physicians and health care providers about the medical management of patients with vascular disease in the perioperative horizon—30-90 days before intervention, during the intervention, and 30-90 days post-intervention. The Management Guide addresses the medical and nonmedical management of patients with vascular disease in the perioperative period.

In order to develop this Guide, the SVS brought together a panel of experts who represent key
members of the perioperative team. The panel included vascular surgeons (Rabih Chaer, MD, MS, who served as the chair of the authoring group; Cassius Iyad Ochoa Chaar, MD, MS; Theodore Yuo, MD); anesthesiologists (Marek Brzezinski, MD, PhD; Martin Zammert, MD); vascular medicine specialists (Yogendra M. Kanthi, MD, FAHA, FSVM; Gaurav Parmar, MD, MPH, FACC, FAAFP, RPVI, CPH); vascular nursing (Christine Owen MS, BSN, ACNP-BC, RNFA); and physician assistants (Ken Bush, PA; Erin Hanlon, PA-C). Special thanks to Katharine McGinigle, MD, MPH and Leila Mureebe, MD for their assistance with the conclusion of the guide, and Lisa Cohen, CHCP and Susan K. Flinn, MA, for staffing support. These experts analyzed existing guidelines, evidence, and protocols from the SVS as well as consensus documents from other stakeholder groups, including the European Society for Vascular Surgery (ESVS), the Society for Vascular Medicine (SVM), the American Society of Anesthesiologists (ASA), the American Heart Association (AHA), the American Diabetes Association (ADA), and the Society for Vascular Nursing (SVN). This analysis informed the development of the Management Guide. (Please see Section C for Resources.) The Guide is intended to supplement these documents and existing local practices, not to replace them. It provides guidance that can be used by individual institutions to build their own perioperative management protocols and design educational programming and complements the Enhanced Recovery After Surgery (ERAS) guidelines that the SVS is developing. The document will help facilities address comorbidities and other risk factors that can affect postoperative outcomes and reduce the use of redundant and/or unnecessary tests.

Acknowledgments 

The Society for Vascular Surgery wishes to thank and acknowledge the following organizations for their support of the development of the Perioperative Care Practice Management Guide:

  • The American Society of Anesthesiologists

  • The Society for Vascular Medicine

  • The Society for Vascular Nursing

    Additionally, the Society for Vascular Surgery thanks its Education Council (Rabih Chaer, MD, Chair) and Document Oversight Committee (Ruth Bush, MD, Chair) for their diligent work in preparing and reviewing the Management Guide on the Perioperative Care of Patients with Vascular Disease. Special thanks to Katharine McGinigle, MD, MPH and Leila Mureebe, MD for their assistance with the conclusion of the guide, and Lisa Cohen, CHCP and Susan K. Flinn, MA, for staffing support.

    Finally, the Management Guide and residual educational activities are supported through an educational grant provided by Janssen Pharmaceuticals, Inc.

Disclaimer

The information contained on Vascular.org is not intended, and should not be relied upon, as a substitute for medical advice or treatment. It is very important that individuals with specific medical problems or questions consult with their doctor or other health care professional.