A 69-year-old man with symptomatic PAD (intermittent claudication) and prior lower-extremity revascularization is on aspirin and high-intensity statin...

Question

A 69-year-old man with symptomatic PAD (intermittent claudication) and prior lower-extremity revascularization is on aspirin and high-intensity statin. To reduce MACE/MALE, what addition is recommended if bleeding risk is acceptable?

Accepted Answer

Add rivaroxaban 2.5 mg BID to aspirin

Answer

Add clopidogrel to aspirin (DAPT) indefinitely

Answer

Switch aspirin to clopidogrel monotherapy

Answer

Add cilostazol for event reduction

Answer

Start warfarin (INR 2-3)

us-abim MCQ (SBA): Peripheral artery disease

A 69-year-old man with symptomatic PAD (intermittent claudication) and prior lower-extremity revascularization is on aspirin and high-intensity statin. To reduce MACE/MALE, what addition is recommended if bleeding risk is acceptable?