|
Category
|
Condition
|
Tier Class
|
|
AAA
|
Ruptured or symptomatic TAAA or AAA
|
3 Do not postpone
|
|
Aneurysm associated w/infection or Prosthetic graft infection
|
3 Do not postpone
|
|
AAA > 6.5 cm
|
2b Postpone if possible
|
|
TAAA > 6.5 cm
|
2b Postpone if possible
|
|
|
|
|
AAA < 6.5 cm
|
1 Postpone
|
|
|
|
|
Aneurysm peripheral
|
Peripheral aneurysm, Symptomatic
|
3 Do not postpone
|
|
Peripheral aneurysm, Asymptomatic
|
2a Consider postponing
|
|
Pseudoaneurysm Repair: Not candidate for thrombin injection or compression, rapidly expanding, complex
|
3 Do not postpone
|
|
Symptomatic non-aortic intra-abdominal aneurysm
|
3 Do not postpone
|
|
Asymptomatic non-aortic intra-abdominal aneurysm
|
2a Consider postponing
|
|
|
|
|
|
Aortic Dissection
|
Acute aortic dissection with rupture or malperfusion
|
3 Do not postpone
|
|
|
|
|
|
Aortic emergency NOS
|
AEF with septic/hemorrhagic shock, or signs of impending rupture
|
3 Do not postpone
|
|
|
|
|
|
Bypass graft complications
|
Infected arterial prosthesis without overt sepsis, or hemorrhagic shock, or impending rupture
|
3 Do not postpone
|
|
Revascularization for high grade re-stenosis of previous intervention
|
2b Postpone if possible
|
|
Asymptomatic bypass graft /stent restenosis
|
1 postpone
|
|
|
|
|
|
|
|
|
|
Carotid
|
Symptomatic Carotid Stenosis: CEA and TCAR
|
3 Do not postpone
|
|
Asymptomatic carotid artery stenosis
|
1 Postpone
|
|
|
|
|
|
Dialysis
|
Thrombosed or nonfunctional dialysis access
|
3 Do not postpone
|
|
Infected dialysis access
|
3 Do not postpone
|
|
Fistula Revision for Ulceration
|
3 Do not postpone
|
|
Renal failure with need for dialysis access
|
3 Do not postpone
|
|
Tunneled Dialysis Catheter
|
3 Do not postpone
|
|
Fistula Revision for Malfunction/steal
|
2b Postpone if possible
|
|
Fistulagram for malfunction
|
2b Postpone if possible
|
|
AV fistula and graft placement for dialysis (ESRD, CK4, and CK5 only)
|
2a Consider postponing
|
|
|
|
|
|
Mesenteric
|
Symptomatic acute mesenteric occlusive disease
|
3 Do not postpone
|
|
Chronic mesenteric ischemia
|
2b Postpone if possible
|
|
|
|
|
|
PVD
|
Acute limb ischemia
|
3 Do not postpone
|
|
Limb Ischemia: Progressive tissue loss, acute limb ischemia, wet gangrene, ascending cellulitis
|
3 Do not postpone
|
|
Fasciotomy for compartment syndrome
|
3 Do not postpone
|
|
Peripheral Vascular Disease: Chronic limb threatening ischemia - rest pain or tissue loss
|
2b Postpone if possible
|
|
Peripheral Angiograms and endovascular therapy for Claudication
|
1 Postpone
|
|
Surgical Procedures for Claudication
|
1 Postpone
|
|
|
|
|
|
Thrombolysis
|
Lysis, Arterial and venous
|
2b Postpone if possible
|
|
|
|
|
|
TOS
|
Symptomatic venous TOS with acute occlusion and marked swelling
|
2b Postpone if possible
|
|
Thoracic Outlet Syndrome, Arterial with thrombosis
|
2b Postpone if possible
|
|
Thoracic Outlet Syndrome, Neurogenic
|
1 postpone
|
|
Thoracic Outlet Syndrome, Venous otherwise
|
2a Consider postponing
|
|
|
|
|
|
Trauma
|
Traumatic injury with hemorrhage and/or ischemia
|
3 Do not postpone
|
|
|
|
|
|
venous
|
Acute iliofemoral DVT with phlegmasia
|
3 Do not postpone
|
|
IVC filter placement
|
2b Postpone if possible
|
|
Massive symptomatic iliofemoral DVT in low risk patient
|
2b Postpone if possible
|
|
Procedures for Ulcerations secondary to venous disease
|
2a Consider postponing
|
|
Asymptomatic May Thurner syndrome
|
1 Postpone
|
|
IVC filter removal
|
1 Postpone
|
|
Varicose veins, GSV ablations
|
1 Postpone
|
|
|
|
|
|
Wounds/ Gangrene/Amputation
|
Amputations for infection/necrosis (TMA, BKA, AKA)
|
3 Do not postpone
|
|
Lower extremity disease with non-salvageable limb (amputation)
|
3 Do not postpone
|
|
Deep Debridement of Surgical wound infection or necrosis
|
2b Postpone if possible
|
|
Wounds requiring skin grafts
|
2b Postpone if possible
|
|
Amputations for infection/necrosis (toes)
|
2b Postpone if possible
|
|
|
|
|
|
Spine
|
ALIF exposure for Spine team
|
2a Consider postponing
|
|
|
|
|
|
Other
|
Surgery/Embolization for uncontrolled bleeding in unstable patients
|
3 Do not postpone
|
|
Surgery/Embolization for bleeding in stable patients
|
2b Postpone if possible
|
|
MediPort for immediate infusion needs
|
2b Postpone if possible
|
|
Port Removal for complication
|
2b Postpone if possible
|