With the overall goal of enhancing the effectiveness and efficiency of vascular care, the Society for
Vascular Surgery (SVS) recently completed a process by which it identified its top clinical research priorities to address critical gaps in knowledge guiding practitioners in prevention and treatment of
vascular disease. After a survey of the SVS membership, a panel of SVS committee members and opinion leaders considered 53 distinct research questions through a structured process that resulted in identification of nine clinical issues that were felt to merit immediate attention by vascular investigators and external funding agencies. These are, in order of priority: (1) define optimal management of asymptomatic
carotid stenosis, (2) compare the effectiveness of medical vs invasive treatment (open or endovascular) of vasculogenic claudication, (3) compare effectiveness of open vs endovascular infrainguinal revascularization as initial treatment of
critical limb ischemia, (4) develop and compare the effectiveness of clinical strategies to reduce cardiovascular and other perioperative complications (eg,
wound) after vascular intervention, (5) compare the effectiveness of strategies to enhance
arteriovenous fistula maturation and durability, (6) develop best practices for management of chronic
venous ulcer, (7) define optimal adjunctive medical
therapy to enhance the success of lower extremity revascularization, (8) identify and evaluate medical
therapy to prevent
abdominal aortic aneurysm growth, and (9) evaluate ultrasound vs computed tomographic angiography surveillance after
endovascular aneurysm repair.