Open Surgical Therapy for Peripheral Artery Disease.

Area of Science:

• Vascular Surgery
• Peripheral Artery Disease Management

Background:

• Peripheral artery disease (PAD) management has evolved with endovascular techniques.
• Complex lesions previously treated with open surgery are now addressed endovascularly.
• Open surgical procedures remain crucial for specific PAD cases and patient profiles.

Purpose of the Study:

• To review the most common open surgical procedures for symptomatic peripheral artery disease (PAD).
• To highlight the continued importance of open surgical options in PAD management.

Main Methods:

• Review of established open surgical techniques for PAD.
• Discussion of current evidence, including the BEST-CLI trial findings.

Main Results:

• The BEST-CLI trial suggests open surgical bypass as a superior initial approach for limb salvage in PAD.
• Surgical advancements have expanded options for patients previously considered high-risk.

Conclusions:

• Open surgical bypass is a vital component of PAD management.
• Familiarity with open surgical therapies is essential for vascular surgeons in the current era.
• Tailoring treatment to individual patient needs and lesion complexity is paramount.