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2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS 下肢外周动脉疾病管理指南:美国心脏病学会/美国心脏协会联合临床实践指南委员会的报告。

2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.

出版信息

J Am Coll Cardiol. 2024 Jun 18;83(24):2497-2604. doi: 10.1016/j.jacc.2024.02.013. Epub 2024 May 14.

Abstract

AIM

The "2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease" provides recommendations to guide clinicians in the treatment of patients with lower extremity peripheral artery disease across its multiple clinical presentation subsets (ie, asymptomatic, chronic symptomatic, chronic limb-threatening ischemia, and acute limb ischemia).

METHODS

A comprehensive literature search was conducted from October 2020 to June 2022, encompassing studies, reviews, and other evidence conducted on human subjects that was published in English from PubMed, EMBASE, the Cochrane Library, CINHL Complete, and other selected databases relevant to this guideline. Additional relevant studies, published through May 2023 during the peer review process, were also considered by the writing committee and added to the evidence tables where appropriate.

STRUCTURE

Recommendations from the "2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease" have been updated with new evidence to guide clinicians. In addition, new recommendations addressing comprehensive care for patients with peripheral artery disease have been developed.

摘要

目的

“2024 年 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS 下肢外周动脉疾病管理指南”提供了建议,以指导临床医生治疗下肢外周动脉疾病的多种临床表现亚型(即无症状、慢性症状性、慢性肢体威胁性缺血和急性肢体缺血)的患者。

方法

从 2020 年 10 月至 2022 年 6 月,进行了全面的文献检索,涵盖了在 PubMed、EMBASE、Cochrane 图书馆、CINHL Complete 及其他与本指南相关的选定数据库中发表的针对人类受试者进行的研究、综述和其他证据,这些研究、综述和其他证据以英文发表。在同行评审过程中,写作委员会还考虑了 2023 年 5 月之前发表的其他相关研究,并在适当的情况下将其添加到证据表中。

结构

对“2016 年 AHA/ACC 下肢外周动脉疾病管理指南”中的建议进行了更新,纳入了新的证据以指导临床医生。此外,还制定了新的建议,以解决外周动脉疾病患者的全面护理问题。

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