39
9.1. Revascularization for Claudication
COR LOE
Recommendations
Revascularization for Claudication: Infrapopliteal Disease
2b C-LD
8. In patients with functionally limiting claudication and isolated
hemodynamically significant infrapopliteal disease with
inadequate response to GDMT (including structured exercise),
the effectiveness of endovascular revascularization is unknown
2b C-LD
9. In patients with functionally limiting claudication and isolated
hemodynamically significant infrapopliteal disease with
inadequate response to GDMT (including structured exercise),
the effectiveness of surgical revascularization is unknown.
9.2. Conduit for Surgical Revascularization for
Femoropopliteal Disease
COR LOE
Recommendation
1 A
1. In patients who are undergoing surgical revascularization
for functionally limiting claudication and hemodynamically
significant femoropopliteal disease, bypass to the popliteal
artery with autogenous vein is recommended in preference to
prosthetic graft material.
Multispecialty care team
Revascularization
(endovascular, surgical, hybrid)
Wound care and
management
of infection
Pressure
offloading
Selective amputation
(most distal
level possible)
Antiplatelet and
antithrombotic
therapy and
cardiovascular risk
reduction
Figure 6. Components of Care for CLTI
(cont'd)
