Diagnostic criteria for Buerger's disease: International Consensus of VAS - European Independent Foundation in Angiology/Vascular Medicine
Issued Date
2023-10-01
Resource Type
eISSN
18271839
Scopus ID
2-s2.0-85178043348
Pubmed ID
38010012
Journal Title
International angiology : a journal of the International Union of Angiology
Volume
42
Issue
5
Start Page
396
End Page
401
Rights Holder(s)
SCOPUS
Bibliographic Citation
International angiology : a journal of the International Union of Angiology Vol.42 No.5 (2023) , 396-401
Suggested Citation
Fazeli B., Poredos P., Kozak M., Pecsvarady Z., Catalano M., Al Salman M.M., Altarazi L., Ali A.A., Bashar A.H., Bozkurt K., Cacione D., Chua B., Cvjetko I., Desai S., Erer D., Farkas K., Gaddikeri P., Geroulakos G., Guclu O., Hussein E., Ionac M., Iwai T., Karahan O., Kashani D., Kota A., Kroger K., Kubat E., Kumar P.P., Lang W., Lobastov K., Malecki R., Marcoccia A., Ozbakkaloglu A., Pandey S.R., Patel M., Polat A., Rajeev A., Ravari H., Samuel V., Schernthaner G., Selvaraj D., Sanri U.S., Sermsathanasawadi N., Sharebiani H., Stanek A., Stephen E., Szuba A., Taha W., Taheri H., Wautrecht J.C., Yuwono H.S., Zor M.H., Liew A. Diagnostic criteria for Buerger's disease: International Consensus of VAS - European Independent Foundation in Angiology/Vascular Medicine. International angiology : a journal of the International Union of Angiology Vol.42 No.5 (2023) , 396-401. 401. doi:10.23736/S0392-9590.23.05098-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/91365
Title
Diagnostic criteria for Buerger's disease: International Consensus of VAS - European Independent Foundation in Angiology/Vascular Medicine
Author(s)
Fazeli B.
Poredos P.
Kozak M.
Pecsvarady Z.
Catalano M.
Al Salman M.M.
Altarazi L.
Ali A.A.
Bashar A.H.
Bozkurt K.
Cacione D.
Chua B.
Cvjetko I.
Desai S.
Erer D.
Farkas K.
Gaddikeri P.
Geroulakos G.
Guclu O.
Hussein E.
Ionac M.
Iwai T.
Karahan O.
Kashani D.
Kota A.
Kroger K.
Kubat E.
Kumar P.P.
Lang W.
Lobastov K.
Malecki R.
Marcoccia A.
Ozbakkaloglu A.
Pandey S.R.
Patel M.
Polat A.
Rajeev A.
Ravari H.
Samuel V.
Schernthaner G.
Selvaraj D.
Sanri U.S.
Sermsathanasawadi N.
Sharebiani H.
Stanek A.
Stephen E.
Szuba A.
Taha W.
Taheri H.
Wautrecht J.C.
Yuwono H.S.
Zor M.H.
Liew A.
Poredos P.
Kozak M.
Pecsvarady Z.
Catalano M.
Al Salman M.M.
Altarazi L.
Ali A.A.
Bashar A.H.
Bozkurt K.
Cacione D.
Chua B.
Cvjetko I.
Desai S.
Erer D.
Farkas K.
Gaddikeri P.
Geroulakos G.
Guclu O.
Hussein E.
Ionac M.
Iwai T.
Karahan O.
Kashani D.
Kota A.
Kroger K.
Kubat E.
Kumar P.P.
Lang W.
Lobastov K.
Malecki R.
Marcoccia A.
Ozbakkaloglu A.
Pandey S.R.
Patel M.
Polat A.
Rajeev A.
Ravari H.
Samuel V.
Schernthaner G.
Selvaraj D.
Sanri U.S.
Sermsathanasawadi N.
Sharebiani H.
Stanek A.
Stephen E.
Szuba A.
Taha W.
Taheri H.
Wautrecht J.C.
Yuwono H.S.
Zor M.H.
Liew A.
Author's Affiliation
Siriraj Hospital
Alanya Alaaddin Keykubat University
University of Health Sciences
Vascular and Endovascular Surgery Research Center
Universitas Islam Bandung
Bursa Yüksek lhtisas Training and Research Hospital
Ospedale Sandro Pertini
Free Universities of Brussels
Sultan Qaboos University Hospital
Pirogov Russian National Research Medical University (RNRMU)
King Edward Medical University Lahore
Royal Adelaide Hospital
Universitätsklinikum Erlangen
National and Kapodistrian University of Athens
Istanbul Üniversitesi
Slaski Uniwersytet Medyczny w Katowicach
Clinical Hospital Merkur
Univerzitetni Klinični Center Ljubljana
Gazi University, Faculty of Medicine
Politechnika Wrocławska
Universitatea de Medicina si Farmacie Victor Babes din Timisoara
Faculty of Medicine - Ain Shams University
Universidade Federal de São Paulo
Al Salam Hospital
King Saud University
Emory Healthcare
Medizinische Universität Wien
University of Galway
Wroclaw Medical University
Ramaiah Medical College
Trakya Üniversitesi
Mayo Clinic in Jacksonville, Florida
Ospedale Luigi Sacco - Polo Universitario
National Institute of Cardiovascular Diseases
Christian Medical College, Vellore
Support Association of Patients of Buerger’s Disease
Mukund Hospital
Farabi Hospital
Tsukuba Vascular Center
Apollo-CVHF Hospital
Varicose Veins and Vascular Polyclinic (VVVC)
Annapurna Hospital
Novena Specialist Center
Özel Sağlık Hospital
HELIOS Klinik Krefeld
St. Imre University Teaching Hospital
Private Practitioner
Flor Ferenc Teaching Hospital
Alanya Alaaddin Keykubat University
University of Health Sciences
Vascular and Endovascular Surgery Research Center
Universitas Islam Bandung
Bursa Yüksek lhtisas Training and Research Hospital
Ospedale Sandro Pertini
Free Universities of Brussels
Sultan Qaboos University Hospital
Pirogov Russian National Research Medical University (RNRMU)
King Edward Medical University Lahore
Royal Adelaide Hospital
Universitätsklinikum Erlangen
National and Kapodistrian University of Athens
Istanbul Üniversitesi
Slaski Uniwersytet Medyczny w Katowicach
Clinical Hospital Merkur
Univerzitetni Klinični Center Ljubljana
Gazi University, Faculty of Medicine
Politechnika Wrocławska
Universitatea de Medicina si Farmacie Victor Babes din Timisoara
Faculty of Medicine - Ain Shams University
Universidade Federal de São Paulo
Al Salam Hospital
King Saud University
Emory Healthcare
Medizinische Universität Wien
University of Galway
Wroclaw Medical University
Ramaiah Medical College
Trakya Üniversitesi
Mayo Clinic in Jacksonville, Florida
Ospedale Luigi Sacco - Polo Universitario
National Institute of Cardiovascular Diseases
Christian Medical College, Vellore
Support Association of Patients of Buerger’s Disease
Mukund Hospital
Farabi Hospital
Tsukuba Vascular Center
Apollo-CVHF Hospital
Varicose Veins and Vascular Polyclinic (VVVC)
Annapurna Hospital
Novena Specialist Center
Özel Sağlık Hospital
HELIOS Klinik Krefeld
St. Imre University Teaching Hospital
Private Practitioner
Flor Ferenc Teaching Hospital
Other Contributor(s)
Abstract
Buerger's disease (BD) remains a debilitating condition and early diagnosis is paramount for its effective management. Despite many published diagnostic criteria for BD, selective criteria have been utilized in different vascular centers to manage patients with BD worldwide. A recent international Delphi Consensus Study on the diagnostic criteria of BD showed that none of these published diagnostic criteria have been universally accepted as a gold standard. Apart from the presence of smoking, these published diagnostic criteria have distinct differences between them, rendering the direct comparison of patient outcomes difficult. Hence, the expert committees from the Working Group of the VAS-European Independent Foundation in Angiology/Vascular Medicine critically reviewed the findings from the Delphi study and provided practical recommendations on the diagnostic criteria for BD, facilitating its universal use. We recommend that the 'definitive' diagnosis of BD must require the presence of three features (history of smoking, typical angiographic features and typical histopathological features) and the use of a combination of major and minor criteria for the 'suspected' diagnosis of BD. The major criterion is the history of active tobacco smoking. The five minor criteria are disease onset at age less than 45 years, ischemic involvement of the lower limbs, ischemic involvement of one or both of the upper limbs, thrombophlebitis migrans and red-blue shade of purple discoloration on edematous toes or fingers. We recommend that a 'suspected' diagnosis of BD is confirmed in the presence of a major criterion plus four or more minor criteria. In the absence of the major criterion or in cases of fewer than four minor criteria, imaging and laboratory data could facilitate the diagnosis. Validation studies on the use of these major and minor criteria are underway.