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.

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