2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: Executive Summary

Abstract

Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry and other entities may apply; see Appendix 1 for recusal information. 2 Functioning as the lay volunteer/ patient representative. 3 ACC/AHA Representative. 4 Vascular and Endovascular Surgery Society Representative. 5 Society for Cardiovascular Angiography and Interventions Representative. 6 ACC/AHA Task Force on Clinical Practice Guidelines Liaison. 7 Inter-Society Consensus for the Management of Peripheral Arterial Disease Representative. 8 Society for Vascular Medicine Representative; 9 Society of Interventional Radiology Representative. 10 Society for Clinical Vascular Surgery Representative. 11 Society for Vascular Surgery Representative.

Measures of chronic kidney disease and risk of incident peripheral artery disease: a collaborative meta-analysis of individual participant data

“…Although the AHA/ACC 2016 Guideline on PAD does not specify CKD as a risk factor of PAD, 15 our results indicate that individuals with CKD even at mild to moderate stages may warrant clinical attention to leg signs and symptoms of PAD. Annual foot care is currently recommended in patients with diabetes, 23 but adherence to this recommendation is only ~30%.…”

“…This kind of limited evidence may have contributed to the lack of inclusion of CKD amongst the risk factors for PAD in the 2016 guidelines on PAD from the American Heart Association (AHA) and the American College of Cardiology (ACC). 15 Therefore, we aimed to quantify the independent and joint associations of eGFR and albuminuria with future risk of PAD using data from 817,084 adults within 21 cohorts in the CKD Prognosis Consortium (CKD-PC). 16 These rich data allowed us to also evaluate prediction improvement of PAD with these CKD measures and explore several different types of PAD such as leg amputation and revascularization.…”

Functional hemodynamics assessment during endovascular Tibio‐pedal retrograde intervention of peripheral arterial disease

“…The correlation between ABI and PBI is reported in this study. The significance of ABI is well‐documented in the literatures . It is obtained by the higher value of either DP or PT pressure divided by the higher brachial pressure .…”

“…It has been reviewed in multiple studies and correlated well with obstructive lesions and subsequent cardiovascular events . The most recent American College of Cardiology and the American Heart Association guideline recommends resting or exercise ABI as a reproducible way to diagnose obstructive PAD . A 2008 meta‐analysis from 16 cohorts showed a reverse J‐shaped association between ABI and cardiovascular mortality .…”

The chaos of hospitalisation for patients with critical limb ischaemia approaching major amputation

“…Peripheral arterial disease (PAD) is receiving increasing attention in the international literature (Gerhard‐Herman et al., ; Norgren et al., ) with recognition of its significant impact on disease burden and health economics (Hirsch, Hartman, Town, & Virnig, ; Nehler et al., ) and diversity and intensity of treatment options (Goodney et al., ; Varu, Hogg, & Kibbe, ). Critical limb ischaemia (CLI) is a debilitating sequela of PAD that is a significant burden to the health system and the family, particularly as the person with CLI approaches amputation.…”