Peripheral Vascular Intervention Guidelines

Covers a broad set of peripheral arterial and venous interventions (cerebral, carotid/vertebral, thoracic/abdominal aortic, peripheral arterial, and venous procedures) only for narrowly defined, objective indications (e.g., specified aneurysm diameters/growth rates, stenosis thresholds for carotid/vertebral disease, critical limb ischemia, venous ulcers/pathologic perforators), and explicitly excludes or deems investigational many procedures (routine intravascular lithotripsy, infrapopliteal stenting, prophylactic iliac stenting, certain embolizations, intracranial atherosclerosis treatment, and other listed experimental indications). Key requirements: prior authorization with detailed documentation including recent (usually ≤6 months) imaging reports (NASCET read for carotids, duplex/CTA/MRA/angiogram; venous duplex/CTV/MRV/IVUS as applicable), evidence of prior conservative therapy when required, angiographic confirmation for carotid stenting, and adherence to the guideline’s specific clinical/size/stenosis and timing criteria (with emergent exceptions).