Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Kum, S; Braunlich, S; Armstrong, EJ; Deloose, K; Portou, M; Brodmann, M; Joviliano, EE; Fernando, Mejia-Villate, G; Kim, J; Hsu, CH; Urasuk, T; Chand, Gupta, P; Singh, Bedi, V; Shiraev, T; Thomas, S; Iida, O; Fujihara, M; Zhenyu, S; Rajan, DK; Fanelli, F.
Consensus-driven vessel preparation and definitive endovascular treatment strategies for femoropopliteal arterial lesions based on plaque morphology.
J Vasc Interv Radiol. 2026; 107993
Doi: 10.1016/j.jvir.2026.107993
PubMed
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- Co-Autor*innen der Med Uni Graz
- Brodmann Marianne
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- Abstract:
- PURPOSE: To provide recommendations for the most appropriate endovascular intervention of femoropopliteal (FP) arterial disease based on plaque characterization. MATERIAL AND METHOD: A panel of 22 physicians from multiple disciplines participated in a modified-Delphi consensus, leveraging the RAND/UCLA Appropriateness Method. Panelists engaged in two rounds of voting, following a literature review, with an in-person discussion prior to the second round of voting. A rigorous statistical approach was utilized to analyze the points of agreement and disagreement. Consensus-based recommendations on the most appropriate endovascular approaches for treating patients with FP lesions, stratified by lesion morphology, were generated. RESULTS: Overall, 490 individual items were included in the voting, 458 (93%) of which achieved consensus and 32 (7%) were non-consensus items, based on a priori criteria under the following categories: (1) recommendations on method for determining plaque morphology; (2) preferred endovascular devices for vessel preparation and definitive treatment stratified by (a) plaque morphology and (b) Tosaka classification of in-stent restenosis; and (3) vessel preparation device safety-related considerations. CONCLUSION: This international, multidisciplinary consensus provides evidence- and expert-informed recommendations for vessel preparation and definitive treatment of FP arterial disease, tailored to plaque morphology. These consensus recommendations aim to support clinical decision-making and promote best interventional practices by serving as an expert-opinion supplement to existing guideline-based care pathways.