Table 2.
Clinical situation | Recommendation | Treatment duration |
---|---|---|
Asymptomatic PAD without other clinical manifestations of atherosclerosis | No antiplatelet therapy | Since clinical situation changes (for example newly diagnosed cardiovascular disease) |
Symptomatic PAD and low bleeding risk | Rivaroxaban 2.5 mg b.d. and ASA 100 mg o.d. | Long-term, regular assessment of bleeding risk |
Symptomatic PAD and high bleeding risk | Clopidogrel 75 mg o.d. or alternatively ASA 100 mg o.d. | Long-term |
After endovascular revascularization and low bleeding risk | Rivaroxaban 2.5 mg b.d. and ASA 100 mg o.d. | Long-term, if temporary addition of clopidogrel 75 mg duration shout be less than 30 days |
After endovascular revascularization and high bleeding risk | Clopidogrel 75 mg o.d. or alternatively ASA 100 mg o.d. | Long-term, if temporary addition of clopidogrel as short as possible |
After surgical revascularization and low bleeding risk* | Rivaroxaban 2.5 mg b.d. and ASA 100 mg o.d. | Long-term, regular assessment of bleeding risk |
After surgical revascularization and high bleeding risk* | Clopidogrel 75 mg o.d. or alternatively ASA 100 mg o.d. | Long-term |
PAD patients with indication for anticoagulation | Anticoagulation only | Long-term |
*In some cases VKA can be discussed after venous grafts and ASA plus Clopidogrel after prosthetic grafts.
o.d.,omne in die, once daily; b.d., bis in die, twice daily.