2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

. Author manuscript; available in PMC: 2017 Sep 21.

Published in final edited form as: Circulation. 2016 Nov 13;135(12):e686–e725. doi: 10.1161/CIR.0000000000000470


Recommendations for Surgical Revascularization for Claudication

COR	LOE	Recommendations

I	A	When surgical revascularization is performed, bypass to the popliteal artery with autogenous vein is recommended in preference to prosthetic graft material.^226–234

IIa	B-NR	Surgical procedures are reasonable as a revascularization option for patients with lifestyle-limiting claudication with inadequate response to GDMT, acceptable perioperative risk, and technical factors suggesting advantages over endovascular procedures.^{190,230,235–237}

III: Harm	B-R	Femoral-tibial artery bypasses with prosthetic graft material should not be used for the treatment of claudication.^238–240

III: Harm	B-NR	Surgical procedures should not be performed in patients with PAD solely to prevent progression to CLI.^{186–189,241}