Department of Surgery, The Johns Hopkins Hospital, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Halsted 668, Baltimore, MD 21287.
Department of Surgery, The Johns Hopkins Hospital, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Halsted 668, Baltimore, MD 21287.
Semin Vasc Surg. 2024 Jun;37(2):188-209. doi: 10.1053/j.semvascsurg.2024.04.006. Epub 2024 Apr 28.
Intermittent claudication (IC) is a phenotype of peripheral artery disease that is characterized by pain in the lower extremity muscles during activity that is relieved by rest. Medical management, risk factor control, smoking cessation, and exercise therapy have historically been the mainstays of treatment for IC, but advances in endovascular technology have led to increasing use of peripheral vascular interventions in this patient population. There are meaningful differences in published society guidelines and appropriate use criteria relevant to the management of IC, especially regarding indications for peripheral vascular interventions. The current review aims to highlight similarities and differences between major society recommendations for the management of IC, and to discuss practice trends, disparities, and evidence gaps in the use of peripheral vascular interventions for IC in the context of existing guidelines.
间歇性跛行（IC）是外周动脉疾病的一种表型，其特征是活动时下肢肌肉疼痛，休息后缓解。医学管理、危险因素控制、戒烟和运动疗法一直是 IC 治疗的主要方法，但血管内技术的进步导致在外周血管疾病患者人群中越来越多地使用血管介入治疗。在与 IC 管理相关的已发表的学会指南和适当使用标准方面存在显著差异，尤其是在外周血管介入治疗的适应证方面。本综述旨在强调主要学会建议在管理 IC 方面的相似性和差异性，并讨论在现有指南的背景下，外周血管介入治疗 IC 的实践趋势、差异和证据缺口。
