Management of chronic peripheral artery disease patients with indication for endovascular revascularization
Christian Heiss1,2,3, Dan-Mircea Olinic4,3, Jill J F Belch5
1Department of Clinical and Experimental Medicine, University of Surrey, Faculty of Health and Medical Sciences, Guildford, United Kingdom.
Insights
Peripheral artery disease (PAD) management requires safe revascularization. This framework guides pre-, peri-, and post-procedure care for endovascular arterial procedures, highlighting the role of interventional vascular physicians.
Area of Science:
- Vascular Medicine
- Interventional Cardiology
- Endovascular Surgery
Background:
- Chronic peripheral artery disease (PAD) presents a growing global health challenge.
- Increasing patient age and comorbidities often preclude traditional open surgery for PAD.
- Endovascular procedures are a primary revascularization strategy for PAD when feasible.
Purpose of the Study:
- To establish a framework for managing patients undergoing lower limb endovascular arterial procedures.
- To provide key messages for pre-, peri-, and post-procedural care.
- To underscore the expanding role of interventional vascular physicians in PAD treatment.
Main Methods:
- Development of a consensus-based framework.
- Endorsement by the European Society of Vascular Medicine board.
- Focus on pre-, peri-, and post-procedural patient management.
Main Results:
- A comprehensive set of key messages for endovascular lower limb revascularization has been established.
- The framework addresses the entire patient journey from preparation to recovery.
- Emphasis is placed on optimizing patient outcomes through standardized care.
Conclusions:
- The framework provides essential guidance for the safe and effective management of patients with PAD undergoing endovascular procedures.
- Interventional vascular physicians play an increasingly vital role in the multidisciplinary approach to PAD.
- Standardized care protocols are crucial for improving outcomes in lower limb revascularization.
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.
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