This guideline provides 25 recommendations for diagnosing, assessing prognosis, and treating peripheral artery disease (PAD) in patients with diabetes and foot ulcers or gangrene. It was developed by an international collaborative group and is based on systematic reviews of the literature. The recommendations cover diagnosing PAD, assessing likelihood of healing and amputation risk, deciding when revascularization is needed, choosing between endovascular and surgical procedures, post-procedure care, and general risk factor management. The goal is to help clinicians provide better care and reduce complications from diabetes-related foot disease.
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IWGDF-2023-05-PAD-Guideline.pdf
1. The intersocietal
IWGDF, ESVS, SVS
guidelines on peripheral
artery disease in
patients with diabetes
mellitus and a foot ulcer
Part of the 2023 IWGDF Guidelines on
the prevention and management of
diabetes-related foot disease
IWGDF
Guidelines
2. AUTHORS
Robert Fitridge1
,Vivienne Chuter2
, Joseph L. Mills3
,
Robert J. Hinchliffe4
, Nobuyoshi Azuma5
,
Christian-Alexander Behrendt6
, Edward J Boyko7
,
Michael S. Conte8
, Misty Humphries9
, Lee Kirksey10
,
Katharine McGinigle11
, Sigrid Nikol12
, Joakim
Nordanstig13
,Vincent Rowe14
, David A. Russell15
,
Jos van den Berg16
, MaaritVenermo17
,
Nicolaas C. Schaper18
INSTITUTIONS
1
Faculty of Health and Medical Sciences, University
of Adelaide, Adelaide, Australia
2
School of Health Sciences,Western Sydney
University, Campbelltown, Sydney, Australia
3
Baylor College of Medicine, Houston,Texas, USA
4
Bristol Centre for Surgical Research, University of
Bristol, Bristol, UK
5
Asahikawa Medical University, Hokkaido, Japan
6
Department ofVascular and Endovascular
Surgery, Asklepios ClinicWandsbek, Asklepios
Medical School, Hamburg, Germany
7
University ofWashington, Seattle,Washington,
USA
8
University of California, San Francisco (UCSF)
Medical Centre, San Francisco, California, USA
9
UC Davis Medical Centre, Sacramento, California,
USA
10
The Cleveland Clinic, Cleveland, Ohio, USA
11
University of North-Carolina, Chapel Hill, North
Carolina, USA
12
Clinical and Interventional Angiology, Asklepios
Klinik, Hamburg, Germany
13
Sahlgrenska University Hospital, Gothenburg,
Sweden
14
David Geffen School of Medicine, UCLA, Los
Angeles, California, USA
15
LeedsTeaching Hospitals NHSTrust, Leeds, UK
www.iwgdfguidelines.org
16
CENTROVASCOLARETICINO Ospedale
Regionale di Lugano, sede Civico and
Universitätsinstitut für Diagnostische,
Interventionelle und Pädiatrische Radiologie
Inselspital, Universitätsspital Bern Switzerland
17
Helsinki University Hospital, University of
Helsinki, Helsinki, Finland
18
Division of Endocrinology, MUMC+, CARIM and
CAPHRI Institute, Maastricht, the Netherlands