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Disparities Between International Guidelines (AHA/ESC/ESVS/ESVM/SVS) Concerning Lower Extremity Arterial Disease: Consensus of the French Society of Vascular Medicine (SFMV) and the French Society for Vascular and Endovascular Surgery (SCVE).

Vascular Medicine Unit, Rennes University Hospital Centre, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Electronic address: maheguillaume@yahoo.fr. Vascular Medicine Department, Montpellier University Hospital Centre, France. Vascular Medicine Department, Toulouse University Hospital Centre, Rangueil Hospital, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Surgery and Kidney Transplantation Department, Strasbourg University Hospital Centre, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Medicine Department, Bordeaux University Hospital Centre, Saint André Hospital, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Surgery Department, Saint-Joseph Paris Hospital Group, Paris, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Medicine Department, Limoges University Hospital Centre, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Medicine Department, Saint-Etienne University Hospital, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Medicine Department, Grenoble University Hospital Centre, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular Investigation and Vascular Medicine Department, Nimes University Hospital Centre, France; FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists) PeripherAL Artery DIsease Network (PALADIN), France. Vascular and Thoracic Surgery Department, Angers University Hospital Centre, France. Cardiology Department, Sart Tilman University Hospital Centre, Liège, Belgium.

Annals of vascular surgery. 2021;:1-56
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Abstract

Several international guidelines concerning lower extremity arterial disease (LEAD) have been published recently, in particular, by the American Heart Association the European Society of Cardiology/European Society for Vascular Surgery, the European Society for Vascular Medicine and the Society for Vascular Surgery. These guidelines differ in some respects and certain issues are not addressed. The objective of this consensus driven by the French Societies of vascular Medicine and surgery was to analyze the disparities between the different guidelines, as well as certain issues not covered, and develop proposals with regard to these points. The following fields of LEAD have been explored: 1) classifications, 2) clinical evaluation, 3) diagnostic criteria, 4) quantification of arterial stenosis using duplex ultrasound, 5) detection of asymptomatic multisite lesions, 6) screening for LEAD in the context of cardiac disease, 7) medical treatment, 8) supervised exercise therapy, 9) revascularization and revascularization of the internal artery stenosis, 10) management of chronic limb ischemia, 11) longitudinal follow-up, and 12) diet.

Methodological quality

Publication Type : Review

Metadata

MeSH terms : Lower Extremity