What are the ESC/ESVS treatment guidelines for 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

Recommendations for patients with IC are as follows:

  • On top of general prevention, statins are indicated to improve walking distance (class I recommendation; evidence level A)
  • In patients with intermittent claudication, supervised exercise training is recommended (class I recommendation; evidence level A); unsupervised exercise training is recommended when supervised training is not feasible or available (class I recommendation; evidence level C)
  • If daily life activities are compromised despite exercise therapy, revascularization should be considered (class IIa recommendation; evidence level C)
  • If daily life activities are severely compromised, revascularization should be considered in association with exercise therapy (class IIa recommendation; evidence level B)

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