实用医学杂志2026，Vol.42Issue(9)：1485-1490,6.DOI:10.3969/j.issn.1006-5725.2026.09.001
2025年美国血管外科学会《间歇性跛行临床实践指南(更新版)》解读
Interpretation of the 2025 Society for Vascular Surgery Clinical Practice Guideline Update for Intermittent Claudication
摘要
Abstract
In 2025,the American Society of Vascular Surgery(SVS)released its first focused update on the 2015 management guidelines for intermittent claudication(IC)in the Journal of Vascular Surgery.This updated guideline set is structured around six key PICO questions,leading to twelve evidence-based recommendations,in-cluding two best-practice statements.Significantly,this update is notable because it represents the first incorpora-tion of low-dose rivaroxaban into the management pathway for IC,highlighting the significance of both exercise therapy and pharmacologic treatment as primary strategies.Moreover,the guidelines take a more prudent approach towards indications for revascularization,tibial artery interventions,and the use of drug-coated devices.This ar-ticle systematically interprets the core updates from the latest guideline text,concentrating on analyzing the strength of the recommendations and the level of evidence backing each suggestion.The objective is to establish a practical framework for clinical decision-making to aid vascular surgeons in their clinical practice.关键词
间歇性跛行/抗栓治疗/运动治疗/血运重建/临床实践指南Key words
intermittent claudication/antithrombotic therapy/exercise therapy/revasculariza-tion/clinical practice guideline分类
医药卫生引用本文复制引用
曹华燕,陈松伟,李强..2025年美国血管外科学会《间歇性跛行临床实践指南(更新版)》解读[J].实用医学杂志,2026,42(9):1485-1490,6.基金项目
教育部产学合作协同育人项目(编号:230800179253843) （编号:230800179253843）
广州市市校(院)企联合资助专题项目(编号:2023A03J0401) （院）
