Diagnostic criteria for Buerger's disease: International Consensus of VAS - European Independent Foundation in Angiology/Vascular Medicine

Fazeli B, Poredos P, Kozak M, Pecsvarady Z, Catalano M, Al Salman MM, Altarazi L, Ali AA, Bashar AH, 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 PP, Lang W, Lobastov K, Malecki R, Marcoccia A, Ozbakkaloglu A, Pandey SR, Patel M, Polat A, Rajeev A, Ravari H, Samuel V, Schernthaner G, Selvaraj D, Sanri US, Sermsathanasawadi N, Sharebiani H, Stanek A, Stephen E, Szuba A, Taha W, Taheri H, Wautrecht JC, Yuwono HS, Zor MH, Liew A (2023)

Publication Type: Journal article

Publication year: 2023

Journal

Book Volume: 42

Pages Range: 396-401

Journal Issue: 5

DOI: 10.23736/S0392-9590.23.05098-8

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.

Authors with CRIS profile

Involved external institutions

Ramaiah Medical College India (IN) University of Health Sciences Vientiane / ມະຫາວິທະຍາໄລ ວິທະຍາສາດ ສຸຂະພາບ Lao People's Democratic Republic (LA) Özel Sağlık Hastanesi Turkey (TR) Bandung Islamic University / Universitas Islam Bandung (UNISBA) Indonesia (ID) University of Galway (NUIG) / Ollscoil na Gaillimhe Ireland (IE) Siriraj Hospital Thailand (TH) Ljubljana University Medical Centre (Ljubljana UMC) / Univerzitetni klinični center Ljubljana Slovenia (SI) King Edward Medical Univeristy Pakistan (PK) Christian Medical College & Hospital India (IN) King Saud University (KSU) / جامعة الملك سعود‎‎ Saudi Arabia (SA) Victor Babes University of Medicine and Pharmacy Romania (RO) Novena Specialist Center Singapore (SG) HELIOS Kliniken Germany (DE) Mayo Clinic Hospital United States (USA) (US) Ain Shams University Egypt (EG) National and Kapodistrian University of Athens Greece (GR) Mashhad University of Medical Sciences (MUMS) Iran, Islamic Republic of (IR) Sultan Qaboos University Hospital (SQUH) / مستشفى جامعة السلطان قابوس Oman (OM) Wrocław University of Science and Technology / Politechnika Wrocławska Poland (PL) Wrocław Medical University / Uniwersytet Medyczny we Wrocławiu Poland (PL) Bursa Yuksek Ihtisas Education and Research Hospital Turkey (TR) Medical University of Silesia in Katowice / Śląski Uniwersytet Medyczny w Katowicach (SUM) Poland (PL) Clinical Hospital Merkur Croatia (HR) Luigi Sacco Hospital Italy (IT) St. Imre Teaching Hospital Hungary (HU) Université libre de Bruxelles (ULB) / Free University of Brussels Belgium (BE) Royal Adelaide Hospital Australia (AU) Apollo CVHF India (IN) Mukund Hospital India (IN) Alanya Alaaddin Keykubat Üniversitesi (ALKU) Turkey (TR) Pirogov Russian National Research Medical University (RSMU / RNRMU) Russian Federation (RU) Gazi University Turkey (TR) Istanbul University / İstanbul Üniversitesi Turkey (TR) Trakya University Turkey (TR) Federal University of São Paulo / Universidade Federal de São Paulo (UNIFESP) Brazil (BR) Medizinische Universität Wien Austria (AT) Emory Healthcare United States (USA) (US) Annapurna Neurological Institute and Allied Sciences Nepal (NP) Kistarcsai Ferenc Flór Hospital Hungary (HU) Sandro Pertini Hospital / Ospedale Sandro Pertini Italy (IT)

How to cite

APA:

Fazeli, B., Poredos, P., Kozak, M., Pecsvarady, Z., Catalano, M., Al Salman, M.M.,... Liew, A. (2023). Diagnostic criteria for Buerger's disease: International Consensus of VAS - European Independent Foundation in Angiology/Vascular Medicine. International Angiology, 42(5), 396-401. https://doi.org/10.23736/S0392-9590.23.05098-8

MLA:

Fazeli, Bahare, et al. "Diagnostic criteria for Buerger's disease: International Consensus of VAS - European Independent Foundation in Angiology/Vascular Medicine." International Angiology 42.5 (2023): 396-401.

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