What are the SVS guidelines for surgical treatment of intermittent claudication (IC) in peripheral arterial occlusive disease (PAOD)?

Updated: Sep 12, 2019
  • Author: Josefina A Dominguez, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

General recommendations for interventions for IC include the following:

  • Endovascular therapy (EVT) or surgical treatment of IC is recommended for patients with significant functional or lifestyle-limiting disability when it is reasonably likely to yield symptomatic improvement, when pharmacologic or exercise therapy or both have failed, and when the benefits outweigh the potential risks (grade 1 recommendation; evidence level B).
  • Selection of an invasive treatment for IC should be individualized. The modality offered should provide a reasonable likelihood of sustained benefit to the patient (>50% likelihood of clinical efficacy for at least 2 years). For revascularization, anatomic patency (freedom from hemodynamically significant restenosis) is considered a prerequisite for sustained efficacy (grade 1 recommendation; evidence level C).

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