37
YES NO
YES
NO
Risk-benefit assessment:
do potential benefits of
revascularization (QOL, walking
performance, functional status)
outweigh risks?
(1)
Revascularization is
not recommended
(3: No benefit)
Effectiveness
of endovascular
revascularization
is unknown
(2b)
Endovascular
approaches may
be considered if
patient is high
risk for surgery
and/or anatomic
factors are
favorable
(2a)
Effectiveness
of surgical
revascularization
is unknown
(2b)
Endarterectomy
is reasonable,
particularly
to preserve
profunda femoris
artery pathways
(2a)
Hemodynamically
significant common
femoral artery disease
Hemodynamically
significant isolated
infrapopliteal disease
Continue GDMT including structured exercise
(1)