Open research questions in Peripheral Artery Disease Management
349 gap statements mined from Peripheral Artery Disease Management papers in our 7.9M-paper local library, which holds 2,043 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The current literature lacks comprehensive data on the outcomes of kissing stenting for TASC C/D lesions. There is a need to evaluate the technical success, primary patency, and reintervention rates of this technique.
Outcomes of Kissing Stent Technique for the Endovascular Treatment of Aorto-Iliac TASC C/D Lesions · 2026 · DOIThere is a need to evaluate the long-term outcomes of Jetstream atherectomy combined with DCB angioplasty in a real-world population. Prior studies have consistently reported severe calcification as a major risk factor for restenosis after EVT with DCB.
Two-year clinical outcomes of jetstream atherectomy followed by drug-coated balloon angioplasty for severely calcified femoropopliteal lesions · 2026 · DOIThe need for a classification to define the revascularization strategy. The lack of a standardized approach to anatomical complexity. The need for a reliable tool to predict revascularization success.
Is Global Limb Anatomic Staging System Classification a Useful Tool in Predicting Lower Limb Revascularization Procedures’ Success? · 2025 · DOIChronic limb-threatening ischemia (CLTI) represents the most severe form of peripheral artery disease, yet long-term cardiovascular outcomes after endovascular revascularization compared with claudication remain poorly defined.
Cardiovascular Impact of Endovascular Revascularization in Chronic Limb-Threatening Ischemia Versus Claudication: A Contemporary Real-World Analysis · 2026 · DOILack of consensus was observed in small-vessel disease, complex bifurcations, long-segment disease requiring multiple scaffolds, thrombotic lesions, and scenarios involving interruption of antiplatelet therapy.
Contemporary Indications for Bioresorbable Scaffolds for Infrapopliteal Peripheral Artery Disease: An International Expert Consensus · 2026 · DOIHowever, the utility of imaging, in particular, intravascular ultrasound (IVUS) and optical coherence tomography (OCT), in endovascular interventions of the lower extremities has been limited by a lack of quantitative data and evidence-based protocols.
A Prospective Evaluation of Optical Coherence Tomography in Below-the-Knee Endovascular Interventions · 2026 · DOIHowever, the optimal interval between revascularization and amputation remains unclear.
Early Versus Delayed Endovascular Revascularization: Implications for Limb Salvage and Survival After Transmetatarsal Amputation · 2026 · DOIHowever, little is known about its uptake and associated outcomes in real-world practice.
Temporal Trends, Practice Variation, and Outcomes of Intravascular Lithotripsy Versus Atherectomy Use for Peripheral Arterial Intervention in the United States · 2026 · DOITechnological progress has broadened treatment options, but its independent contribution to long-term outcomes remains uncertain.
Endovascular recanalization of chronic total occlusion of the subclavian artery: fifteen years of technological evolution · 2026 · DOIHowever, its prognostic relevance in peripheral artery disease (PAD) remains unclear.
Circulating Human Epididymis Protein 4 Predicts 10‐Year Mortality and Major Adverse Cardiovascular Events in Patients With Peripheral Artery Disease · 2026 · DOIHowever, its prognostic performance in diabetic patients after endovascular revascularization remains unclear.
Prognostic performance of the WIfI classification in diabetic patients with infrapopliteal CLTI after endovascular revascularization: a subgroup analysis of the PRIME-WIFI registry · 2026 · DOIHead-to-head research comparing invasive revascularization strategies for chronic limb-threatening ischemia (CLTI) is sparse, partly due to challenges in conducting randomized controlled trials in the CLTI space.
Contemporary Chronic Limb-Threatening Ischemia Care in the United States—Part 2: Designing Clinical Device Trials · 2025 · DOIPeripheral artery disease (PAD) and its most severe manifestation, chronic limb-threatening ischaemia (CLTI), are serious yet under-recognized conditions associated with functional limitation and increased risks of major adverse limb events (MALE), major adverse cardiovascular events, and mortality1.
International BEST-CLI Collaborative: next steps to create a coordinated global initiative to improve awareness and access while reducing mortality and amputation for patients with chronic limb-threatening ischaemia · 2025 · DOIFurther study of microvascular dysfunction as a mechanistic driver of ambulatory function is warranted.
The impact of age on outcomes after revascularization for chronic limb-threatening ischemia has not been studied in a prospective trial.
Age-Related Outcomes After Revascularization for Chronic Limb-Threatening Ischemia: An Analysis of BEST-CLI · 2025 · DOIThere are limited data on the mechanism of the Rotarex Rotational Excisional Atherectomy System in treating femoropopliteal arterial disease.
Intravascular Ultrasound Assessment of Arterial Dissections Following Rotarex Atherectomy: Results of the iDissection Rotarex Study · 2024 · DOIThere is limited data available on the impact of anemia on the peripheral artery disease (PAD) outcomes.
F-9 | Clinical Outcomes for Patients with anemia and Peripheral Artery Disease(PAD): An Analysis of the National Inpatient Sample · 2024 · DOIRecent trial data support both surgical-first and endovascular-first revascularization approaches for chronic limb-threatening ischemia (CLTI), but variations and outcomes associated with each strategy among capable hospitals are lacking.
OR9-1 | Variations in Revascularization Strategies for Chronic Limb-Threatening Ischemia: A Nationwide Analysis of Medicare Beneficiaries · 2024 · DOIThere are limited data comparing endovascular intervention outcomes in heart failure (HF) patients presenting with symptomatic peripheral artery disease (PAD).
OR9-3 | Endovascular Outcomes of Patients with Heart Failure Undergoing Non-Stent Infrainguinal Interventions from the XLPAD Registry · 2024 · DOIHowever, it remains unclear whether these walking tests effectively manifest clinical impairment in individuals with asymptomatic peripheral artery disease (PAD).
A comparison of walking performance between individuals with and without asymptomatic peripheral artery disease using the six-minute walk test and the incremental shuttle walk test · 2024 · DOIIn complex patients, current calcium modification technologies can be limited by an inability to deliver across severely stenosed lesions and associated risks of vessel damage and distal embolization.
Treatment of Calcified Peripheral Artery Disease With the Shockwave Forward Peripheral Intravascular Lithotripsy System: One-Year Outcomes From the FORWARD PAD IDE and Mini S Feasibility Studies · 2026 · DOIWhether the risk of major adverse cardiovascular events and MALE and the effect of rivaroxaban are consistent in patients with a history of prior LER versus those without has not been described.
Low-Dose Rivaroxaban Plus Aspirin in Patients With PAD Undergoing Lower Extremity Revascularization With and Without History of Prior Limb Revascularization: Insight From the VOYAGER-PAD Trial · 2026 · DOILimited long-term follow-up data on vascular patency and functional recovery, - Small sample size (single case report), - Lack of control group…
Acute popliteal artery thrombosis after simultaneous bilateral total knee arthroplasty: a case report with long-term follow-up · 2026 · DOIInvestigation of risk factors for popliteal artery thrombosis after total knee arthroplasty, - Development of strategies for early detection and prevention, - Study of long-term outcomes and vascular patency in larger…
Acute popliteal artery thrombosis after simultaneous bilateral total knee arthroplasty: a case report with long-term follow-up · 2026 · DOIHowever, there is a lack of data regarding the rates of amputation and outcomes following…
OR9-2 | Impact of Endovascular Revascularization on Amputation Rates in Chronic Total Occlusion-Peripheral Artery Disease: Insights from a National Registry · 2024 · DOI
Most-cited papers in Peripheral Artery Disease Management
- Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis · The Lancet · 2013 · 3,072 citations
- Peripheral Arterial Disease Detection, Awareness, and Treatment in Primary Care · JAMA · 2001 · 2,277 citations
- Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial · The Lancet · 2005 · 1,717 citations
- Ankle Brachial Index Combined With Framingham Risk Score to Predict Cardiovascular Events and Mortality · JAMA · 2008 · 1,580 citations
- One-Year Cardiovascular Event Rates in Outpatients With Atherothrombosis · JAMA · 2007 · 1,157 citations
- Rivaroxaban in Peripheral Artery Disease after Revascularization · New England Journal of Medicine · 2020 · 1,002 citations
- 2024 ESC Guidelines for the management of peripheral arterial and aortic diseases · European Heart Journal · 2024 · 849 citations
- Lower Extremity Peripheral Artery Disease: Contemporary Epidemiology, Management Gaps, and Future Directions: A Scientific Statement From the American Heart Association · Circulation · 2021 · 754 citations
- Efficacy and Safety of Sirolimus in the Treatment of Complicated Vascular Anomalies · PEDIATRICS · 2016 · 741 citations
- 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines · Circulation · 2024 · 699 citations
Most recent work
- Peripheral Artery Disease in the Legs · New England Journal of Medicine · 2026
- Comparison of Sirolimus- vs Paclitaxel-Coated Balloon Angioplasty for Femoropopliteal Artery Disease · Journal of the American College of Cardiology · 2026
- Outcomes following Revascularisation for Acute Lower Limb Ischaemia Using Contemporary Endovascular, Hybrid, or Open Surgical Techniques in a Multicentre, Retrospective Cohort: The Acute Lower Limb Ischaemia Vascular Outcomes Evaluation (ALIVE) Registry · European Journal of Vascular and Endovascular Surgery · 2026
- Development of a standard definition of ‘no-option’ and ‘poor-option’ for revascularization in chronic limb-threatening ischemia · British journal of surgery · 2026
- Endovascular Therapy versus Medical Management for Basilar Artery Occlusion Presenting beyond 24 Hours · Radiology · 2026
- Open bypass versus endovascular therapy in chronic limb-threatening ischemia patients with prior endovascular attempts · Journal of Vascular Surgery · 2026
- Consensus-Driven Vessel Preparation and Definitive Endovascular Treatment Strategies for Femoropopliteal Arterial Lesions Based on Plaque Morphology · Journal of Vascular and Interventional Radiology · 2026
- Endovascular Thrombectomy in Patients With Largest Baseline Infarcts (ASPECTS 0–2): An Ancillary Analysis of the LASTE Trial · Stroke · 2026
- 2026 ACC/AHA Clinical Performance and Quality Measures for Patients With Peripheral Artery Disease · Journal of the American College of Cardiology · 2026
- Categorization of patients with peripheral artery disease by Charlson Comorbidity Index · European Journal of Preventive Cardiology · 2026
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