Vascular Pathways

14 pathways

Work through 14 interactive vascular decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.

Peripheral Arterial Disease

ABPI, claudication management, and critical limb-threatening ischaemia pathway

NICE NG19 2012 / ESVS 2017
Carotid Artery Disease

Symptomatic carotid stenosis — timing and method of carotid endarterectomy or stenting

NICE CG68 / ESVS 2018
Varicose Veins Management

CEAP classification, duplex assessment, and treatment options for varicose veins

NICE CG168 2013
Venous Leg Ulcer Management

Differentiation from arterial ulcers, compression therapy, and wound management

NICE NG204 2022
Abdominal Aortic Aneurysm — Surveillance + Repair

NHS AAA screening; size + symptoms determine repair (EVAR / open); rupture is surgical emergency.

NICE NG156; NAAASP
DVT Diagnosis + Treatment

Wells score + D-dimer + Doppler USS; anticoagulate; investigate provoking factor; thrombophilia + cancer screen if indicated.

NICE NG158
Buerger's Disease (Thromboangiitis Obliterans)

Smoker + young-onset distal limb ischaemia; smoking cessation only effective treatment; supportive care.

ACPGBI; ESC
Lymphoedema

Distinguish primary (genetic) from secondary (cancer, surgery, radiotherapy, infection); compression + skin care + manual lymphatic drainage.

Lymphoedema Network UK; ISL
Raynaud's Phenomenon

Triphasic colour change (white-blue-red); distinguish primary (idiopathic) vs secondary (autoimmune); CCB first-line.

BSR; UK Scleroderma Study Group
AV Fistula / Dialysis Access

Pre-emptive AVF creation; recognise complications (thrombosis, infection, steal, aneurysm); urgent referral.

Renal Association; UK Vascular Society
Critical Limb Ischaemia

Rest pain / non-healing ulcer / gangrene; ankle-brachial index; angiography; revascularisation (bypass / endovascular) or amputation.

NICE NG147; ESC PAD
Subclavian Steal Syndrome

Proximal subclavian stenosis → reverse flow in vertebral artery during arm exertion → posterior circulation symptoms.

ESC; AHA
Chronic Mesenteric Ischaemia

Post-prandial abdominal pain + weight loss + 'food fear' in atherosclerotic patient; CT angiography; revascularisation.

ESVS; ACG
Diabetic Foot — Vascular Component

Vascular component of diabetic foot disease; assess perfusion (ABPI / TBPI / TcPO₂); revascularisation for ischaemic ulcer / limb-threatening.

NICE NG19; IWGDF