ACR Appropriateness Criteria® Iliac Artery Occlusive Disease

Expert Panel on Interventional Radiology:

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Iliac artery occlusive disease can present as a sudden-onset acute thrombotic or thromboembolic event or as a chronic progressive atherosclerotic process that presents as claudication progressing to rest pain. Depending on the clinical presentation, the diagnosis is usually confirmed through Doppler vascular ultrasound, CT angiography, or MR angiography; the choice of imaging is usually based on modality availability and the presence of patient comorbidities such as chronic kidney disease. The Trans-Atlantic Inter-Society Consensus II classification system is commonly used to describe the extent of the peripheral vascular disease. Depending on the pathophysiology, clinical presentation, and radiologic extent of the disease process, therapeutic options for acute thrombotic cases can include supportive care, anticoagulation, thrombolytic therapy, surgical or catheter-directed mechanical thrombectomy, and surgical bypass. Therapeutic options for atherosclerotic disease include supportive measures such as behavior modification, a supervised exercise program, adjunctive treatment with anticoagulation and antiplatelet medications, angioplasty, stent placement, stent-graft placement, surgical or catheter-directed endarterectomy or plaque excision, and surgical bypass. This document describes the appropriateness of imaging in this patient population, treatment procedures for specific clinical scenarios, and the likely prognosis for these patients. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S530-S539
JournalJournal of the American College of Radiology
Volume14
Issue number11
DOIs
StatePublished - Nov 1 2017

Fingerprint

Iliac Artery
Stents
Therapeutics
Catheters
Guidelines
Doppler Ultrasonography
Thrombectomy
Endarterectomy
Peripheral Vascular Diseases
Behavior Therapy
Thrombolytic Therapy
Expert Testimony
Chronic Renal Insufficiency
Angioplasty
Radiology
Blood Vessels
Comorbidity
Consensus
Angiography
Exercise

Keywords

  • Angioplasty/stent
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • Atherosclerotic
  • AUC
  • Iliac

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Iliac Artery Occlusive Disease. / Expert Panel on Interventional Radiology:.

In: Journal of the American College of Radiology, Vol. 14, No. 11, 01.11.2017, p. S530-S539.

Research output: Contribution to journalArticle

Expert Panel on Interventional Radiology:. / ACR Appropriateness Criteria® Iliac Artery Occlusive Disease. In: Journal of the American College of Radiology. 2017 ; Vol. 14, No. 11. pp. S530-S539.
@article{3745aa4081d14367bf0786d415195ad7,
title = "ACR Appropriateness Criteria{\circledR} Iliac Artery Occlusive Disease",
abstract = "Iliac artery occlusive disease can present as a sudden-onset acute thrombotic or thromboembolic event or as a chronic progressive atherosclerotic process that presents as claudication progressing to rest pain. Depending on the clinical presentation, the diagnosis is usually confirmed through Doppler vascular ultrasound, CT angiography, or MR angiography; the choice of imaging is usually based on modality availability and the presence of patient comorbidities such as chronic kidney disease. The Trans-Atlantic Inter-Society Consensus II classification system is commonly used to describe the extent of the peripheral vascular disease. Depending on the pathophysiology, clinical presentation, and radiologic extent of the disease process, therapeutic options for acute thrombotic cases can include supportive care, anticoagulation, thrombolytic therapy, surgical or catheter-directed mechanical thrombectomy, and surgical bypass. Therapeutic options for atherosclerotic disease include supportive measures such as behavior modification, a supervised exercise program, adjunctive treatment with anticoagulation and antiplatelet medications, angioplasty, stent placement, stent-graft placement, surgical or catheter-directed endarterectomy or plaque excision, and surgical bypass. This document describes the appropriateness of imaging in this patient population, treatment procedures for specific clinical scenarios, and the likely prognosis for these patients. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.",
keywords = "Angioplasty/stent, Appropriate Use Criteria, Appropriateness Criteria, Atherosclerotic, AUC, Iliac",
author = "{Expert Panel on Interventional Radiology:} and Copelan, {Alexander Z.} and Kapoor, {Baljendra S.} and AbuRahma, {Ali F.} and Cain, {Thomas R.} and Caplin, {Drew M.} and Khashayar Farsad and Grace Knuttinen and Lee, {Margaret H.} and McBride, {Joseph J.} and Jeet Minocha and Reis, {Stephen P.} and Rochon, {Paul J.} and Shaw, {Colette M.} and Lorenz, {Jonathan M.}",
year = "2017",
month = "11",
day = "1",
doi = "10.1016/j.jacr.2017.08.039",
language = "English (US)",
volume = "14",
pages = "S530--S539",
journal = "JACR Journal of the American College of Radiology",
issn = "1558-349X",
publisher = "Elsevier BV",
number = "11",

}

TY - JOUR

T1 - ACR Appropriateness Criteria® Iliac Artery Occlusive Disease

AU - Expert Panel on Interventional Radiology:

AU - Copelan, Alexander Z.

AU - Kapoor, Baljendra S.

AU - AbuRahma, Ali F.

AU - Cain, Thomas R.

AU - Caplin, Drew M.

AU - Farsad, Khashayar

AU - Knuttinen, Grace

AU - Lee, Margaret H.

AU - McBride, Joseph J.

AU - Minocha, Jeet

AU - Reis, Stephen P.

AU - Rochon, Paul J.

AU - Shaw, Colette M.

AU - Lorenz, Jonathan M.

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Iliac artery occlusive disease can present as a sudden-onset acute thrombotic or thromboembolic event or as a chronic progressive atherosclerotic process that presents as claudication progressing to rest pain. Depending on the clinical presentation, the diagnosis is usually confirmed through Doppler vascular ultrasound, CT angiography, or MR angiography; the choice of imaging is usually based on modality availability and the presence of patient comorbidities such as chronic kidney disease. The Trans-Atlantic Inter-Society Consensus II classification system is commonly used to describe the extent of the peripheral vascular disease. Depending on the pathophysiology, clinical presentation, and radiologic extent of the disease process, therapeutic options for acute thrombotic cases can include supportive care, anticoagulation, thrombolytic therapy, surgical or catheter-directed mechanical thrombectomy, and surgical bypass. Therapeutic options for atherosclerotic disease include supportive measures such as behavior modification, a supervised exercise program, adjunctive treatment with anticoagulation and antiplatelet medications, angioplasty, stent placement, stent-graft placement, surgical or catheter-directed endarterectomy or plaque excision, and surgical bypass. This document describes the appropriateness of imaging in this patient population, treatment procedures for specific clinical scenarios, and the likely prognosis for these patients. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

AB - Iliac artery occlusive disease can present as a sudden-onset acute thrombotic or thromboembolic event or as a chronic progressive atherosclerotic process that presents as claudication progressing to rest pain. Depending on the clinical presentation, the diagnosis is usually confirmed through Doppler vascular ultrasound, CT angiography, or MR angiography; the choice of imaging is usually based on modality availability and the presence of patient comorbidities such as chronic kidney disease. The Trans-Atlantic Inter-Society Consensus II classification system is commonly used to describe the extent of the peripheral vascular disease. Depending on the pathophysiology, clinical presentation, and radiologic extent of the disease process, therapeutic options for acute thrombotic cases can include supportive care, anticoagulation, thrombolytic therapy, surgical or catheter-directed mechanical thrombectomy, and surgical bypass. Therapeutic options for atherosclerotic disease include supportive measures such as behavior modification, a supervised exercise program, adjunctive treatment with anticoagulation and antiplatelet medications, angioplasty, stent placement, stent-graft placement, surgical or catheter-directed endarterectomy or plaque excision, and surgical bypass. This document describes the appropriateness of imaging in this patient population, treatment procedures for specific clinical scenarios, and the likely prognosis for these patients. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

KW - Angioplasty/stent

KW - Appropriate Use Criteria

KW - Appropriateness Criteria

KW - Atherosclerotic

KW - AUC

KW - Iliac

UR - http://www.scopus.com/inward/record.url?scp=85032837647&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85032837647&partnerID=8YFLogxK

U2 - 10.1016/j.jacr.2017.08.039

DO - 10.1016/j.jacr.2017.08.039

M3 - Article

VL - 14

SP - S530-S539

JO - JACR Journal of the American College of Radiology

JF - JACR Journal of the American College of Radiology

SN - 1558-349X

IS - 11

ER -