This guideline covers diagnosing and managing peripheral arterial disease (PAD) in people aged 18 and over. Rapid changes in diagnostic methods, endovascular treatments and vascular services associated with new specialties in surgery and interventional radiology has resulted in considerable uncertainty and variation in practice. This guideline aims to resolve that uncertainty and variation.
This guideline includes recommendations on:
- assessing for PAD
- imaging for revascularisation
- managing intermittent claudication
- managing critical limb ischaemia
- preventing cardiovascular disease in people with PAD
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Adults, and their families and carers
Is this guideline up to date?
We checked this guideline in February 2017 and we are updating the recommendations on diagnosis of PAD among people with diabetes. See the guideline in development page for progress on the update.
Next review: January 2021
Guideline development process
This guideline was previously called lower limb peripheral arterial disease: diagnosis and management.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.