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CLINICAL STATEMENTS AND GUIDELINES

Circulation. 2024;149:e1313–e1410. DOI: 10.1161/CIR.0000000000001251 June 11, 2024 e1377

11 Studies to determine ideal timing and modality for

vascular surveillance testing postrevascularization procedures.

13.2 Advocacy Priorities

Through its review of the literature, discussions, and guideline development, the writing committee identified priorities for advocacy in the field of PAD. This list of priorities could be incorporated into future collaborative multispecialty and multisocietal initiatives to advance toward a future of improved recognition and diagnosis, access to care, and clinical outcomes for patients with this important CVD. 1.	 Collaborative teamwork among all specialties that care for patients with PAD to expand access to care and improve patient outcomes. 2.	 Implementation of the PAD National Action Plan, which outlines 6 strategic goals to improve awareness, detection, and treatment of PAD nationwide.1 This is recognized as a top advocacy priority by the writing committee. 3.	 Broad dissemination and implementation of these

guidelines to improve detection of and care for patients with PAD (and particularly CLTI) with the goal of reducing nontraumatic limb amputation in the United States by 20% by 2030.2

4 Focus on quality outcomes in PAD (prescription of

GDMT, smoking cessation, prevention of readmissions after revascularization). A suggested next step includes the development of AHA Get With The Guidelines initiatives to address disparities in prevention and risk factor modification between PAD and CAD. 5.	 Improved access to, affordability of, and thus utilization of SET for PAD, including development of hybrid programs that have some facility-based and some community- and home-based component, including use of telehealth. 6.	 Implementation of interventions to address the racial disparity gap in amputation and revascularization and to improve limb and cardiovascular outcomes for all patients with PAD. The potential impact of such interventions on clinical outcomes should be studied and reported. 7.	 Use of telehealth and remote patient-monitoring devices (eg, wearables, smart devices) to provide PAD-related care for underserved areas and patient populations and for populations that require more intensive follow-up, such as CLTI. 8.	 Creation of a national registry of nontraumatic

lower extremity amputation to identify opportunities for improvement and to unmask factors associated with disparities in treatment. Such a registry would provide data to track the AHA goal of 20% reduction in amputations by 2030.2 PEER REVIEW COMMITTEE MEMBERS

Mark A. Creager, MD, FACC, FAHA Chair; Naomi M. Hamburg, MD, FACC, Vice-Chair; Olamide Alabi, MD; S. Elissa Altin, MD, PhD; Subhash Banerjee, MD, FACC*; Merry Ellen Barnett, MD; Robert Baulieu, MD†; Marc P. Bonaca, MD, FACC, FAHA; Yulanka Castro-Dominguez, MD, FACC; Foluso Fakorede, MD; Laura Findeiss, MD, FSIR, FAHA; Yolanda Hendley, MD, MSc, FACC‡; Daniella Kadian-Dodov, MD, FACC; Ahmed Kayssi, MD§; Anna K. Krawisz, MD; Mary M. McDermott, MD; Matthew T. Menard, MD; Sanjay Misra, MD, FAHA, SIR‖; Manesh R. Patel, MD, FACC; Rene Quiroz, MD; Elizabeth V. Ratchford, MD; Catherine R. Ratliff, PhD, GNP-BC, CWOCN, CFCN¶; Jeffrey A. Ross, MD, DPM#; Kerry J. Steward, EdD**; Leben Tefera, MD††; Gabriela Velazquez, MD; Michael N. Young, MD, FACC

AHA/ACC JOINT COMMITTEE ON CLINICAL PRACTICE GUIDELINES

Joshua A. Beckman, MD, MS, FACC, FAHA, Chair; Catherine M. Otto, MD, MS, FACC, FAHA, Chair-Elect; Patrick T. O’Gara, MD, MACC, FAHA, Immediate Past Chair‡‡; Anastasia Armbruster, PharmD, FACC; Kim K. Birtcher, PharmD, MS, FACC‡‡; Leslie L. Davis, PhD, ANP-BC, FACC, FAHA; Lisa de las Fuentes, MD, MS, FAHA‡‡; Anita Deswal, MD, MPH, FACC, FAHA‡‡; Dave L. Dixon, PharmD, FACC‡‡; Víctor A. Ferrari, MD, FACC, FAHA; Zachary D. Goldberger, MD, MS, FACC, FAHA‡‡; Bulent Gorenek, MD, FACC‡‡; Norrisa Haynes, MD, MPH‡‡; Adrian F. Hernandez, MD, MHS‡‡; Hani Jneid, MD, FACC, FAHA, FSCAI; José A. Joglar, MD, FACC, FAHA‡‡; Heather M. Johnson, MD, MS, FACC, FAHA; W. Schuyler Jones, MD, FACC; Sadiya S. Kahn, MD, MSc, FACC, FAHA; Prateeti Khazanie, MD, MPH, FAHA; Michelle M. Kittleson, MD, PhD, FACC, FAHA; Daniel Mark, MD, MPH, FACC, FAHA‡‡; Venu Menon, MD, FACC, FAHA; Debabrata Mukherjee, MD, FACC, FAHA, FSCAI; Latha Palaniappan, MD, MS, FACC, FAHA‡‡; Mariann R. Piano, RN, PhD, FAHA‡‡; Tanveer Rab, MD, FACC; Daichi Shimbo, MD; Erica S. Spatz, MD, MS, FACC‡‡; Jacqueline E. Tamis-Holland, MD, FACC, FAHA, FSCAI; Y. Joseph Woo, MD, FACC, FAHA; Boback Ziaeian, MD, PhD, FACC, FAHA

*SCAI representative. †VESS representative. ‡ABC representative. §SVS representative. ||SIR representative. ¶SVN representative. #APMA representative. **AACVPR representative. ††SVM representative. ‡‡Former Task Force member; current member during the writing effort.

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