Description

The Trans-Atlantic Inter-Society developed a consensus (TASC) classification for atherosclerotic disease of the common femoral and popliteal arteries.


 

Parameters:

(1) unilateral vs bilateral

(2) length in cm

(3) number of lesions

(4) stenosis vs occlusion

(6) involvement of distal popliteal artery

(7) heavy calcification

 

Type

Lesion

1

single stenosis on left or right side, < 3 cm, in CFA or PA, not heavily calcified

2

single stenosis 3-10 cm long without involvement of distal popliteal artery

3

heavily calcified stenosis <= 3 cm in length

4

multiple stenosis or occlusions, each < 3 cm long

5

single or multiple lesions in the absence of continuous tibial runoff to improve inflow for distal surgical bypass

6

single stenosis or occlusion > 5 cm in length

7

multiple stenosis or occlusions, each 3-5 cm in length, with or without heavy calcification

8

complete common femoral artery occlusions

8

superficial femoral artery occlusions

8

complete popliteal and proximal trifurcation occlusions

 

where:

• CFA = common femoral artery, PA = popliteal artery

• While Type 1 in the paper refers to bilateral disease, the remainder do not. In the implementation I will only refer to unilateral disease.

• Type 6 and Type 2 could overlap for a single stenosis 6 to 10 cm in length.

 

Lesion Type

TASC Group

1

A

2, 3, 4 or 5

B

6 or, 7

C

8

D

 


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