Management of chronic peripheral artery disease patients with indication for endovascular revascularization

Vasa. 2022 May;51(3):121-137. doi: 10.1024/0301-1526/a000998. Epub 2022 Apr 14.

Abstract

With an increasing global burden of patients with chronic peripheral artery disease (PAD) the safe and effective provision of lower limb revascularisation is a growing medical need. Endovascular procedures for the treatment of PAD have become a crucial cornerstone of modern vascular medicine, and the first line revascularisation approach if technically feasible and taking patient choice into consideration. With the increasing age of patients with PAD and the increasing number of comorbidities open vascular surgery is also often not feasible. We outline a framework of key messages, endorsed by the board of the European Society of Vascular Medicine for pre-, peri- and post procedural management of patients requiring endovascular arterial procedures of the lower limbs. These key messages emphasize the important and increasing role of interventional vascular physicians.

Keywords: Peripheral artery disease; treatment guidelines; vascular medicine.

MeSH terms

  • Cardiology*
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / methods
  • Humans
  • Lower Extremity / blood supply
  • Peripheral Arterial Disease* / diagnostic imaging
  • Peripheral Arterial Disease* / surgery
  • Risk Factors
  • Treatment Outcome