{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:30:00Z","timestamp":1784298600473,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Current practice guidelines lack consensus on optimal surveillance strategies following endovascular interventions for peripheral artery disease (PAD). This study evaluated surveillance practices among vascular surgeons in Australia and New Zealand (ANZ), focusing on duplex ultrasound (DUS) use and factors influencing surveillance protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All consultant vascular surgeons in the Australian and New Zealand Society for Vascular Surgery were invited to participate in an online survey examining demographics, practice characteristics, surveillance protocols after endovascular interventions, and decision\u2010making regarding surveillance and reintervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 266 surgeons, 73 responded (27%). Respondents were predominantly experienced (77% with \u2265\u200910\u2009years practice) and worked in teaching hospitals (88%). Most performed an initial post\u2010procedural DUS (89%) and ongoing routine DUS surveillance (83%). Surveillance protocols varied considerably, with 67% tailoring intervals based on patient\/lesion factors rather than predetermined schedules. Practice variation was independent of surgeon experience, practice setting, or geography. All surveyed chronic limb\u2010threatening ischemia patients, versus 93% for intermittent claudication. Reintervention thresholds varied by anatomy: 58% required symptoms before intervening for infrapopliteal disease compared to 15% for aortoiliac disease. Most surgeons (82%) acknowledged significant uncertainty regarding optimal surveillance strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Substantial practice variation exists in post\u2010endovascular surveillance among ANZ vascular surgeons. While most employ DUS surveillance, frequency, duration, and intervention thresholds differ markedly. These findings highlight the need for prospective studies to determine optimal surveillance protocols balancing clinical outcomes with resource utilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70329","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T11:49:26Z","timestamp":1758800966000},"page":"164-169","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Duplex Ultrasound Surveillance After Endovascular Therapy for Peripheral Artery Disease: An Australian and New Zealand Study"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2658-8298","authenticated-orcid":false,"given":"Thomas M.","family":"Warburton","sequence":"first","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital  Sydney Australia"},{"name":"Faculty of Medicine University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon D.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital  Sydney Australia"},{"name":"Faculty of Medicine University of New South Wales  Sydney Australia"},{"name":"The Vascular Institute Prince of Wales Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4921-8433","authenticated-orcid":false,"given":"Manar","family":"Khashram","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Waikato Hospital  Hamilton New Zealand"},{"name":"Faculty of Medicine and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Royal Adelaide Hospital  Adelaide Australia"},{"name":"Faculty of Health and Medical Sciences University of Adelaide  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Picazo\u2010Pineda","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Royal Perth Hospital  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Sir Charles Gairdner Hospital  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew F.","family":"Lennox","sequence":"additional","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital  Sydney Australia"},{"name":"Faculty of Medicine University of New South Wales  Sydney Australia"},{"name":"The Vascular Institute Prince of Wales Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nedal","family":"Katib","sequence":"additional","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital  Sydney Australia"},{"name":"Faculty of Medicine University of New South Wales  Sydney Australia"},{"name":"The Vascular Institute Prince of Wales Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon L.","family":"Varcoe","sequence":"additional","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital  Sydney Australia"},{"name":"Faculty of Medicine University of New South Wales  Sydney Australia"},{"name":"The Vascular Institute Prince of Wales Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001560"},{"issue":"6","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvs.2019.02.016","article-title":"Global Vascular Guidelines on the Management of Chronic Limb\u2010Threatening Ischemia","volume":"69","author":"Conte M. S.","year":"2019","journal-title":"Journal of Vascular Surgery"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.04.018"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.08.062"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001251"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(11)60013-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.06.017"},{"issue":"7","key":"e_1_2_9_9_1","article-title":"Duplex Ultrasound for Surveillance of Lower Limb Revascularisation","volume":"7","author":"Sarpe A. K.","year":"2023","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.12.029"},{"issue":"6","key":"e_1_2_9_11_1","first-page":"500","article-title":"Routinely Ultrasound Surveillance Improves Outcome After Endovascular Treatment of Peripheral Arterial Disease: Propensity\u2010Matched Comparisons of Clinical Outcomes After Ultrasound or Clinical\u2010Hemodynamic Based Surveillance Programs","volume":"41","author":"Mart\u00ednez\u2010Rico C.","year":"2022","journal-title":"International Angiology"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.01.030"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:31:34Z","timestamp":1772973094000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,25]]},"references-count":11,"journal-issue":{"issue":"1-2","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ans.70329"],"URL":"https:\/\/doi.org\/10.1111\/ans.70329","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,25]]},"assertion":[{"value":"2025-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}