36
Treatment
Figure 5. Algorithm for Revascularization for Claudication
(Chronic Symptomatic PAD)
Symptoms are
functionally limiting and
response to GDMT (including
structured exercise) is
inadequate?
Claudication
(chronic symptomatic
PAD)
Revascularization is a reasonable
treatment option
(2a)
Autogenous vein for femoral-
popliteal bypass in preference
to prosthetic material
(1)
Endovascular
revascularization is
effective
(1)
Surgical revascularization is
reasonable if perioperative risk
is acceptable and technical
factors suggest advantages
over endovascular approaches
(2a)
Continue GDMT including structured exercise
(1)
Hemodynamically significant
aortoiliac or femoropopliteal disease
