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
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)