<sup>d</sup>Stands for as long as it is well tolerated.

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Presentation transcript:

<sup>d</sup>Stands for as long as it is well tolerated. From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

<sup>e</sup>Stands for as long as it is well tolerated. From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

<sup>c</sup>Stands for as long as it is well tolerated. From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

<sup>c</sup>Age > 80 years, clinically significant cardiac disease, severe pulmonary disease, contralateral internal carotid artery occlusion, contralateral recurrent laryngeal nerve palsy, previous radical neck surgery or radiotherapy and recurrent stenosis after CEA. From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

<sup>a</sup>Related to atherosclerotic lower extremity artery disease (LEAD). From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

<sup>b</sup>In the absence of contra-indication for surgery and in the presence of adequate target for anastomosis/runoff. From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

<sup>b</sup>Specific etiological work-up is necessary (cardiac, aorta). From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.

Figure 8 Reported rate ranges of other localizations of atherosclerosis in patients with a specific arterial disease.<sup>51</sup><sup>,</sup><sup>335–343</sup> The graph reports the rates of concomitant arterial diseases in patients presenting an arterial disease in one territory (e.g. in patients with CAD, 5 − 9% of cases have concomitant carotid stenosis >70%). ABI = ankle-brachial index; CAD = coronary artery disease; LEAD = lower extremity artery disease; RAS = renal artery stenosis. From: 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS) Eur Heart J. Published online August 26, 2017. doi:10.1093/eurheartj/ehx095 Eur Heart J | The article has been co-published with permission in the European Heart Journal [DOI: 10.1093/eurheartj/ehx095] on behalf on the European Society of Cardiology and European Journal of Vascular and Endovascular Surgery [DOI: 10.1016/j.ejvs.2017.07.018] on behalf of the European Society for Vascular Surgery. All rights reserved in respect of European Heart Journal, © European Society of Cardiology 2017. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citations can be used when citing this article. For permissions please email: journals.permissions@oxfordjournals.org.