ACR Appropriateness Criteria® Lower Extremity Arterial Claudication-Imaging Assessment for Revascularization: 2022 Update.

Autor: Azene EM; Director of PERT, Chair Cancer Advisory Council, Medical Governor, Gundersen Health System, La Crosse, Wisconsin. Electronic address: emazene@gundersenhealth.org., Steigner ML; Panel Chair; Director, Vascular CT/MR, Medical Director 3D Lab, Brigham & Women's Hospital, Boston, Massachusetts., Aghayev A; Panel Vice-Chair, Brigham & Women's Hospital, Boston, Massachusetts., Ahmad S; University of Toronto, Toronto, Ontario, Canada; American College of Physicians., Clough RE; St. Thomas' Hospital, King's College, School of Biomedical Engineering and Imaging Science, London, United Kingdom; Society for Cardiovascular Magnetic Resonance., Ferencik M; Section Head of Cardiovascular Imaging, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon; Society of Cardiovascular Computed Tomography., Hedgire SS; Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts., Hicks CW; Director of Johns Hopkins Surgery Center for Outcomes Research, Johns Hopkins University School of Medicine, Baltimore, Maryland; Editor-in-Chief, Seminars in Vascular Surgery; Society for Vascular Surgery., Kirsch DS; Ochsner Hospital, New Orleans, Louisiana., Lee YJ; University of California, San Francisco, San Francisco, California., Myers LA; Keck School of Medicine of USC, Los Angeles, California; Committee on Emergency Radiology-GSER., Nagpal P; Head, Cardiovascular Imaging, University of Wisconsin, Madison, Wisconsin., Osborne N; University of Michigan, Ann Arbor, Michigan; Society for Vascular Surgery., Pillai AK; Section Chief, Interventional Radiology, UT Southwestern Medical Center, Dallas, Texas., Ripley B; VA Puget Sound Health Care System and University of Washington, Seattle, Washington., Singh N; Mercyhealth, Rockford, Illinois., Thomas R; Section Chief of Thoracic Imaging and Cardiac CT and Associate Magnetic Resonance Medical Director, Lahey Hospital and Medical Center, Burlington, Massachusetts., Kalva SP; Specialty Chair; Chief of Interventional Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Jazyk: angličtina
Zdroj: Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2022 Nov; Vol. 19 (11S), pp. S364-S373.
DOI: 10.1016/j.jacr.2022.09.002
Abstrakt: Arterial claudication is a common manifestation of peripheral artery disease. This document focuses on necessary imaging before revascularization for claudication. Appropriate use of ultrasound, invasive arteriography, MR angiography, and CT angiography are discussed. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
(Copyright © 2022 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE