01.10 Vascular
01.10 Vascular surgery [PDF link]: Peripheral arterial disease (PAD) – intermittent claudication, critical limb ischaemia, acute limb-threatening ischaemia, Leriche syndrome, Aortic aneurysm (AAA) – including monitoring/screening criteria, Aortic dissection – Stanford classification, Debakey classification, Varicose veins, Chronic venous insufficiency skin changes: telangectasia, reticular veins, corona phlebectatica, atrophie blanche, lipodermatosclerosis, hyperpigmentation, venous stasis dermatitis, gaiter area ulcers, Lower leg ulcers: venous leg ulcer, Marjolin’s ulcer, arterial ulcer, neuropathic ulcer, pyoderma gangrenous (see 09.02), Ankle-brachial pressure index (ABPI)
More on peripheral arterial disease (PAD)
NICE clinical guideline CG147 (last updated Dec 2020)
Other guidelines
American – Gornik HL, Aronow HD, Goodney PP, Arya S, Brewster LP, Byrd L, et al. 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. Circulation 2024;149. https://doi.org/10.1161/CIR.0000000000001251.
European – Mazzolai L, Teixido-Tura G, Lanzi S, Boc V, Bossone E, Brodmann M, et al. 2024 ESC Guidelines for the management of peripheral arterial and aortic diseases. European Heart Journal 2024;45:3538–700. https://doi.org/10.1093/eurheartj/ehae179.
Leriche syndrome / aortoiliac occlusive syndrome – Radiopaedia has a nice summary
More on aortic aneurysm
NICE guideline NG156: Abdominal aortic aneurysm: diagnosis and management
AAA screening programme in the UK, also NICE CKS
See also the 2024 ESC guidelines for peripheral arterial and aortic diseases – section 9.2 for aortic aneurysms (has more info on thoracic aneurysms which are not covered by NG156)
Mazzolai L, Teixido-Tura G, Lanzi S, Boc V, Bossone E, Brodmann M, et al. 2024 ESC Guidelines for the management of peripheral arterial and aortic diseases. European Heart Journal 2024;45:3538–700. https://doi.org/10.1093/eurheartj/ehae179.
More on aortic dissection / acute aortic syndrome (AAS)
No specific NICE guideline on this, so see the 2024 ESC guidelines for peripheral arterial and aortic diseases (referenced above) – section 9.3 discusses acute thoracic aortic syndromes which cover aortic dissection
More on varicose veins
NICE clinical guideline CG168, published Jul 2013
