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Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Become a Member
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Membership Benefits
ACS

COVID-19 Guidelines for Triage of Vascular Surgery Patients

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