19
Table 26. Recommendation for Revascularization for
Claudication
COR LOE
Recommendation
IIa A Revascularization is a reasonable treatment option for the patient
with lifestyle-limiting claudication with an inadequate response
to GDMT.
Table 25. Interdisciplinary Care Team for PAD
A team of professionals representing different disciplines to assist in the evaluation and
management of the patient with PAD.
• For the care of patients with CLI, the interdisciplinary care team should include
individuals who are skilled in endovascular revascularization, surgical revascularization,
wound healing therapies and foot surgery, and medical evaluation and care.
• Interdisciplinary care team members may include:
▶ Vascular medical and surgical
specialists (i.e., vascular medicine,
vascular surgery, interventional
radiolog y, interventional cardiolog y)
▶ Radiology and vascular imaging specialists
▶ Physical medicine and rehabilitation
clinicians
▶ Nurses ▶ Orthotics and prosthetics specialists
▶ Orthopedic surgeons and podiatrists ▶ Social workers
▶ Endocrinologists ▶ Exercise physiologists
▶ Internal medicine specialists ▶ Physical and occupational therapists
▶ Infectious disease specialists ▶ Nutritionists/dieticians
Revascularization for Claudication
Table 27. Endovascular Revascularization for Claudication
COR LOE
Recommendations
I A Endovascular procedures are effective as a revascularization
option for patients with lifestyle-limiting claudication and
hemodynamically significant aortoiliac occlusive disease.
IIa B-R Endovascular procedures are reasonable as a revascularization
option for patients with lifestyle-limiting claudication and
hemodynamically significant femoropopliteal disease.
IIb C-LD e usefulness of endovascular procedures as a revascularization
option for patients with claudication due to isolated
infrapopliteal artery disease is unknown.
III:
Harm
B-NR Endovascular procedures should NOT be performed in patients
with PAD solely to prevent progression to CLI.
