p.43 抽出テキスト

N

N N

N

N

N

N Chronic PAD syndromes (with wounds)

Vascular follow-up (clinical, physical, functional, vascular assessment)

Asymptomatic PAD Symptomatic PAD CLTI

Optimal medical treatment Optimal medical treatment Optimal medical treatment

Wound care Wound care

Wound care

Healing Healing

Vascular team assessment

Revascularization feasible

Supervised or structured

home-based exercise training

Vascular team assessment Vascular team assessment

Improved PAD-related

symptoms Revascularization indicated

and reasonable

Revascularization indicated

and reasonable

Revascularization and

Wound care Revascularization and

Wound care

Evaluate alternative treatment strategy (pharmacological,

amputation)

Revascularization and supervised or structured home-based exercise training

Supervised or structured home-based exercise training Revascularization feasible

Revascularization indicated

and reasonable

Y

Revascularization feasible

Y

Y

Y

Y

Y

Y

Y N

N

Y

Figure 12 Treatment algorithm in peripheral arterial disease with wounds. CLTI, chronic limb-threatening ischaemia; PAD, peripheral arterial disease. Downloaded from academic.oup.com/eurheartj/article/45/36/3538/7738955 by guest on 07 October 2026