Overview and comparison of contemporary Society for Vascular Surgery, American Heart Association/American College of Cardiology, and European Society for Vascular Surgery guidelines for the management of patients with intermittent claudication
IF 4.3 3区 材料科学Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
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Abstract
Intermittent claudication (IC) is a phenotype of peripheral artery disease that is characterized by pain in the lower extremity muscles during activity that is relieved by rest. Medical management, risk factor control, smoking cessation, and exercise therapy have historically been the mainstays of treatment for IC, but advances in endovascular technology have led to increasing use of peripheral vascular interventions in this patient population. There are meaningful differences in published society guidelines and appropriate use criteria relevant to the management of IC, especially regarding indications for peripheral vascular interventions. The current review aims to highlight similarities and differences between major society recommendations for the management of IC, and to discuss practice trends, disparities, and evidence gaps in the use of peripheral vascular interventions for IC in the context of existing guidelines.
间歇性跛行(IC)是外周动脉疾病的一种表现形式,其特点是活动时下肢肌肉疼痛,休息后疼痛缓解。医疗管理、风险因素控制、戒烟和运动疗法历来是治疗间歇性跛行的主要方法,但随着血管内技术的进步,越来越多的外周血管介入治疗被应用于此类患者。已出版的学会指南和与 IC 管理相关的适当使用标准存在明显差异,尤其是在外周血管介入治疗的适应症方面。本综述旨在强调主要学会关于 IC 管理建议的异同,并结合现有指南讨论 IC 使用外周血管介入治疗的实践趋势、差异和证据差距。