2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

AIM: The "2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease" provides recommendations to guide clinicians in the treatment of patients with lower extremity peripheral artery disease across its multiple clinical...

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Published inCirculation (New York, N.Y.) Vol. 149; no. 24; pp. e1313 - e1410
Main Authors Gornik, Heather L., Aronow, Herbert D., Goodney, Philip P., Arya, Shipra, Brewster, Luke Packard, Byrd, Lori, Chandra, Venita, Drachman, Douglas E., Eaves, Jennifer M., Ehrman, Jonathan K., Evans, John N., Getchius, Thomas S.D., Gutiérrez, J. Antonio, Hawkins, Beau M., Hess, Connie N., Ho, Karen J., Jones, W. Schuyler, Kim, Esther S.H., Kinlay, Scott, Kirksey, Lee, Kohlman-Trigoboff, Debra, Long, Chandler A., Pollak, Amy West, Sabri, Saher S., Sadwin, Lawrence B., Secemsky, Eric A., Serhal, Maya, Shishehbor, Mehdi H., Treat-Jacobson, Diane, Wilkins, Luke R.
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 11.06.2024
Subjects
American Heart Association
Cardiology - standards
Humans
Lower Extremity - blood supply
Peripheral Arterial Disease - diagnosis
Peripheral Arterial Disease - therapy
United States
United States
vascular surgery
endovascular therapy
AHA Scientific Statements
acute limb ischemia
bypass graft/bypass grafting/surgical bypass
claudication/intermittent claudication
open revascularization
atypical leg symptoms
foot care
percutaneous therapy
angioplasty
atherosclerosis
diagnostic testing
hybrid approach, lipid lowering, lower extremity/foot wound/ulcer
blood pressure lowering
antiplatelet therapy
antithrombotic therapy
stenting
anticoagulation therapy
exercise rehabilitation/exercise therapy/exercise training/supervised exercise
vascular intervention
statin
critical limb ischemia/chronic limb-threatening ischemia
smoking/smoking cessation
medical management
peripheral artery disease/peripheral arterial disease/peripheral vascular disease/lower extremity arterial disease
cilostazol
thrombolysis
ankle-brachial index
diabetes
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Summary:AIM: The "2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease" provides recommendations to guide clinicians in the treatment of patients with lower extremity peripheral artery disease across its multiple clinical presentation subsets (ie, asymptomatic, chronic symptomatic, chronic limb-threatening ischemia, and acute limb ischemia). METHODS: A comprehensive literature search was conducted from October 2020 to June 2022, encompassing studies, reviews, and other evidence conducted on human subjects that was published in English from PubMed, EMBASE, the Cochrane Library, CINHL Complete, and other selected databases relevant to this guideline. Additional relevant studies, published through May 2023 during the peer review process, were also considered by the writing committee and added to the evidence tables where appropriate. STRUCTURE: Recommendations from the "2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease" have been updated with new evidence to guide clinicians. In addition, new recommendations addressing comprehensive care for patients with peripheral artery disease have been developed.
Bibliography:Developed in Collaboration With and Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, American Podiatric Medical Association, Association of Black Cardiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine, Society for Vascular Nursing, Society for Vascular Surgery, Society of Interventional Radiology, and Vascular & Endovascular Surgery Society Circulation is available at www.ahajournals.org/journal/circ Peer Review Committee Members and AHA/ACC Joint Committee on Clinical Practice Guidelines Members, see page 1377. The American Heart Association requests that this document be cited as follows: Gornik HL, Aronow HD, Goodney PP, Arya S, Brewster LP, Byrd L, Chandra V, Drachman DE, Eaves JM, Ehrman JK, Evans JN, Getchius TSD, Gutiérrez JA, Hawkins BM, Hess CN, Ho KJ, Jones WS, Kim ESH, Kinlay S, Kirksey L, Kohlman-Trigoboff D, Long CA, Pollak AW, Sabri SS, Sadwin LB, Secemsky EA, Serhal M, Shishehbor MH, Treat-Jacobson D, Wilkins LR. 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS guideline for the management of lower extremity peripheral artery disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024:149;e1313-e1410. doi:10.1161/CIR.0000000000001251 This document was approved by the American College of Cardiology Clinical Policy Approval Committee in December 2023, the American Heart Association Science Advisory and Coordinating Committee in January 2024, and the American College of Cardiology Science and Quality Committee and the American Heart Association Executive Committee in February 2024. Supplemental materials are available with this article at https://www.ahajournals.org/doi/suppl/10.1161/CIR.0000000000001251 This article has been copublished in the Journal of the American College of Cardiology. Copies: This document is available on the websites of the American Heart Association (professional.heart.org) and the American College of Cardiology (www.acc.org). A copy of the document is also available at https://professional.heart.org/statements by selecting the "Guidelines & Statements" button. To purchase additional reprints, call 215-356-2721 or email Meredith.Edelman@wolterskluwer.com. The expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines, systematic reviews) is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit https://professional.heart.org/statements. Select the "Guidelines & Statements" drop-down menu near the top of the webpage, then click "Publication Development." Permissions: Multiple copies, modification, alteration, enhancement, and distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at https://www.heart.org/permissions. A link to the "Copyright Permissions Request Form" appears in the second paragraph (https://www.heart.org/en/about-us/statements-and-policies/copyright-request-form).
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Instructional Material/Guideline-3
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ISSN:0009-7322
1524-4539
1524-4539
DOI:10.1161/CIR.0000000000001251