Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Secondary prevention of cardiovascular disease".)

International

●International Working Group on the Diabetic Foot (IWGDF): Guideline on diagnosis, prognosis and management of peripheral artery disease in patients with a foot ulcer and diabetes (2019)

●Society for Vascular Surgery (SVS), European Society for Vascular Surgery (ESVS), and World Federation of Vascular Societies (WFVS): Global vascular guidelines on the management of chronic limb-threatening ischemia (2019)

●An update on methods for revascularization and expansion of the TASC lesion classification to include below-the-knee arteries – A supplement to the Inter-society consensus for the management of peripheral arterial disease (TASC II) (2015)

•Inter-society consensus for the management of peripheral arterial disease (TASC II) (2007)

Canada

●Choosing Wisely Canada: Don't perform carotid endarterectomies or stenting in most asymptomatic high risk patients with limited life expectancy (updated 2019)

●Choosing Wisely Canada: Don't perform percutaneous interventions or bypass surgery as first line therapy in patients with asymptomatic peripheral arterial disease (PAD) and in most patients with claudication (updated 2019)

●Society of Interventional Radiology (SIR) and Canadian Interventional Radiology Association (CIRA): Position statement on noninvasive imaging of peripheral arterial disease (2016)

United States

●American Heart Association (AHA)/American Stroke Association (ASA): Guideline for the prevention of stroke in patients with stroke and transient ischemic attack (2021)

●Society for Vascular Surgery (SVS): Clinical practice guidelines for management of extracranial cerebrovascular disease (2021)

●US Preventive Services Task Force (USPSTF): Final recommendation statement on screening for asymptomatic carotid artery stenosis (2021)

●American College of Cardiology (ACC)/AHA/Society for Cardiovascular Angiography and Interventions (SCAI)/Society of Interventional Radiology (SIR)/Society for Vascular Medicine (SVM): 2018 appropriate use criteria for peripheral artery intervention (published 2019)

●AHA: A science advisory on implementation of supervised exercise therapy for patients with symptomatic peripheral artery disease (2019)

●AHA: A scientific statement on optimal exercise programs for patients with peripheral artery disease (2019)

●SVS, European Society for Vascular Surgery (ESVS), and World Federation of Vascular Societies (WFVS): Global vascular guidelines on the management of chronic limb-threatening ischemia (2019)

●American College of Radiology (ACR): ACR appropriateness criteria nonatherosclerotic peripheral arterial disease (2018)

●USPSTF: Final recommendation statement on peripheral artery disease and cardiovascular disease – Screening and risk assessment with the ankle-brachial index (2018)

●SVS: Practice guidelines on follow-up after vascular surgery arterial procedures (2018)

●ACR: ACR Appropriateness Criteria lower extremity arterial revascularization – Post-therapy imaging (2017)

●ACR: ACR Appropriateness Criteria radiologic management of iliac artery occlusive disease (revised 2017)

●AHA/ACC: 2016 guideline on the management of patients with lower extremity peripheral artery disease (published 2017)

●ACR: ACR Appropriateness Criteria vascular claudication – Assessment for revascularization (revised 2016)

●Choosing Wisely: Don't use interventions (including surgical bypass, angiogram, angioplasty or stent) as a first line of treatment for most patients with intermittent claudication (2015, updated 2016)

●SIR and Canadian Interventional Radiology Association (CIRA): Position statement on noninvasive imaging of peripheral arterial disease (2016)

●SVS: Reporting standards for endovascular treatment of chronic lower extremity peripheral artery disease (2016)

●SVS, American Podiatric Medical Association (APMA), SVM: A clinical practice guideline for the management of diabetic foot (2016)

●SVS: Practice guidelines for atherosclerotic occlusive disease of the lower extremities – Management of asymptomatic disease and claudication (2015)

●SCAI: Expert consensus statement for aorto-iliac arterial intervention appropriate use (2014)

●SCAI: Expert consensus statement for femoral-popliteal arterial intervention appropriate use (2014)

●SCAI: Expert consensus statement for infrapopliteal arterial intervention appropriate use (2014)

●SVS: Lower extremity threatened limb classification system – Risk stratification based on Wound, Ischemia, and foot Infection (WIfI) (2014)

●American College of Cardiology Foundation (ACCF)/AHA: Compilation of 2005 and 2011 guideline recommendations on the management of patients with peripheral artery disease (published 2013)

●Choosing Wisely: Don't initiate routine evaluation of carotid artery disease prior to cardiac surgery in the absence of symptoms or other high-risk criteria (2013)

●Choosing Wisely: Don't recommend CEA for asymptomatic carotid stenosis unless the complication rate is low (<3%) (2013)

●Choosing Wisely: Don't screen for carotid artery stenosis (CAS) in asymptomatic adult patients (2013)

●Choosing Wisely: Don't screen for renal artery stenosis in patients without resistant hypertension and with normal renal function, even if known atherosclerosis is present (2013)

●Choosing Wisely: Refrain from percutaneous or surgical revascularization of peripheral artery stenosis in patients without claudication or critical limb ischemia (2013)

●ACCF/AHA/ACR/SCAI/SIR/Society of Thoracic Surgeons (STS)/SVM/Society for Vascular Nursing (SVN)/SVS: Key data elements and definitions for peripheral atherosclerotic vascular disease (2012)

●American College of Chest Physicians (CHEST): Evidence-based clinical practice guidelines on antithrombotic therapy in peripheral artery disease – Antithrombotic therapy and prevention of thrombosis, 9th edition (2012)

●AHA/ACCF: Guideline on secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease, update (2011)

●ASA/ACCF/AHA/American Association of Neuroscience Nurses (AANN)/American Association of Neurological Surgeons (AANS)/ACR/American Society of Neuroradiology (ASNR)/Congress of Neurological Surgeons (CNS)/Society of Atherosclerosis Imaging and Prevention (SAIP)/SCAI/SIR/Society of NeuroInterventional Surgery (SNIS)/SVM/SVS: Guideline on the management of patients with extracranial carotid and vertebral artery disease (2011)

Europe

●European Society of Cardiology (ESC) and European Society for Vascular Surgery (ESVS): A consensus document on follow-up of patients after revascularisation for peripheral arterial diseases (2019)

●Society for Vascular Surgery (SVS), ESVS, and World Federation of Vascular Societies (WFVS): Global vascular guidelines on the management of chronic limb-threatening ischemia (2019)

●ESVS: 2017 clinical practice guidelines for the management of atherosclerotic carotid and vertebral artery disease (published 2018)

●ESC and ESVS: 2017 guidelines on the diagnosis and treatment of peripheral arterial diseases (published 2018)

●Cardiovascular and Interventional Radiological Society of Europe (CIRSE): Guidelines on endovascular treatment in aortoiliac arterial disease (2014)

●CIRSE: Quality assurance guidelines for the endovascular treatment of occlusive lesions of the subclavian and innominate arteries (2013)

●ESVS: Guidelines for critical limb ischaemia and diabetic foot − Introduction (2011)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Clinical guideline on peripheral arterial disease – Diagnosis and management (2012, updated 2020)

●NICE: Interventional procedures guidance on extracranial to intracranial bypass for intracranial atherosclerosis (2017)

●NICE: Interventional procedures guidance on angioplasty and stenting to treat peripheral arterial disease causing refractory erectile dysfunction (2016)

●NICE: Interventional procedures guidance on transcervical extracorporeal reverse flow neuroprotection for reducing the risk of stroke during carotid artery stenting (2016)

●NICE: Quality standard on peripheral arterial disease (2014)

●NICE: Interventional procedures guidance on percutaneous laser atherectomy as an adjunct to balloon angioplasty (with or without stenting) for peripheral arterial disease (2012)

●NICE: Interventional procedures guidance for carotid artery stent placement for asymptomatic extracranial carotid stenosis (2011)

●NICE: Interventional procedures guidance for carotid artery stent placement for symptomatic extracranial carotid stenosis (2011)

Australia-New Zealand

●Choosing Wisely Australia: Don't perform imaging of the carotid arteries for simple faints

●Choosing Wisely Australia: Don't routinely recommend surgery for a narrowed carotid artery (>50% stenosis) that has not caused symptoms

●Exercise & Sports Science Australia (ESSA): Position statement on exercise prescription for patients with peripheral arterial disease and intermittent claudication (2014)

Japan

●[In Japanese] Choosing Wisely Japan: Carotid artery surgery – When necessary and when not needed (updated 2016)