Review outlines updated approach to peripheral arterial disease management

A review on peripheral arterial disease (PAD) states that patients with lower limb PAD face high cardiovascular risk, making medical therapy and behaviour modification central to management. The review reports that supervised exercise therapy improves walking capacity in intermittent claudication while avoiding revascularisation risks, and notes that revascularisation is overused in this group despite carrying substantial peri-procedural risks and limited durability; it states such procedures are generally reserved for chronic limb threatening ischaemia, the most severe and limb-threatening form of PAD.

Most relevant for: Patients with peripheral arterial disease, including asymptomatic disease, intermittent claudication, and chronic limb threatening ischaemia.

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