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Guidance/Advisory Criteria — Conditions

Peripheral Vascular Disease

Obstructive vascular disease of the lower extremities is a widely recognized peripheral vascular disease (PVD) in adults. PVD is usually a slow, progressive disease with a benign course that carries little to no risk for gradual or sudden incapacitation.

For the driver, pain at rest represents a critical degree of ischemia and is disqualifying because of the likelihood of reduced dexterity in the affected limb. PVD can necessitate surgical revascularization, angioplasty, or amputation.

Certification/Recertification — Peripheral Vascular Disease

Waiting period

Minimum — 3 months post-surgical repair

NOTE: If more than one waiting period applies (because of multiple cardiac conditions or other comorbid diseases), examine the driver for certification after completion of the longest waiting period.


Maximum certification period — 1 year

Recommend to certify if:

The driver has no other disqualifying cardiovascular disease.

Recommend not to certify if:

The driver has pain at rest.


You may, on a case-by-case basis, obtain additional tests and consultations to adequately assess driver medical fitness for duty.


The driver should have an annual medical examination.

Peripheral Vascular Disease Recommendation Table (PDF)

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