Sandbox: Peripheral Arterial Disease
Recommendations on Revascularization in Patients with Symptomatic Carotid Disease
| Class I |
| "1.CEA is recommended in symptomatic patients with 70–99% carotid stenoses, provided the documented procedural death/ stroke rate is < 6%. (Level of Evidence: A) " |
| "1.When decided, it is recommended to perform revascularization of symptomatic 50–99% carotid stenoses as soon as possible, preferably within 14 days of symptom onset. (Level of Evidence: A) " |
| Class IIa |
| "1.CEA should be considered in symptomatic patients with 50–69% carotid stenoses, provided the documented procedural death/ stroke rate is < 6%.(Level of Evidence: A) " |
| "1.In recently symptomatic patients with a 50–99% stenosis who present with adverse anatomical features or medical comorbidities that are considered to make them ‘high risk for CEA’, CAS should be considered, provided the documented procedural death/stroke rate is < 6%.(Level of Evidence: B) " |
| Class IIb |
| "1.When revascularization is indicated in ‘average surgical risk’ patients with symptomatic carotid disease, CAS may be considered as an alternative to surgery, provided the documented procedural death/stroke rate is < 6%.(Level of Evidence: B) " |
| Class III |
| "1.Revascularization is not recommended in patients with a < 50% carotid stenosis. (Level of Evidence: A) " |
| Symptomatic Carotid Disease: Stroke or TIA occurring within 6 months |
Recommendations on the Management of Acute Mesenteric Ischaemia
| Class I |
| Diagnosis |
| "1.In patients with suspected acute mesenteric ischaemia, urgent CTA is recommended.(Level of Evidence: C) " |
| Class IIa |
| "1.In patients with suspicion of acute mesenteric ischaemia, the measurement of D- dimer should be considered to rule out the diagnosis(Level of Evidence: B) " |
| Treatment |
| Class IIa |
| "1.In patients with suspicion of acute mesenteric ischaemia, the measurement of D-dimer should be considered to rule out the diagnosis(Level of Evidence: B) "(Level of Evidence: B) " |
| "1.In patients with acute embolic occlusion of the superior mesenteric artery, both endovascular and open surgery therapy should be considered.(Level of Evidence: B) "(Level of Evidence: B) " |
| CTA = computed tomography angiography |