{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T02:33:20Z","timestamp":1793154800044,"version":"4.5.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["annalsofvascularsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Vascular Surgery"],"published-print":{"date-parts":[[2027,1]]},"DOI":"10.1016\/j.avsg.2026.09.003","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:26:32Z","timestamp":1789773992000},"page":"301-309","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["The Peripheral Arterial Bleeding Classification: A Novel Classification for Safety Reporting in Peripheral Arterial Disease\u2014An International Delphi Consensus Study"],"prefix":"10.1016","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4494-9706","authenticated-orcid":false,"given":"Linde J.","family":"Vijn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.M.","family":"Mol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7a\u011fda\u015f","family":"\u00dcnl\u00fc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gert J.","family":"de Borst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Coelho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.M.","family":"Steiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Van Herzeele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.S.","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Bastos Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.E.V.B.","family":"Hazenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Rantner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Stavroulakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Yazar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Deloose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Ruffino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"B\u00f6ckler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.H.","family":"Geelkerken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"van der Vorst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.C.","family":"Warl\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.C.","family":"van den Berg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.L.","family":"Mills","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.B.","family":"Koncar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Jongkind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Fanelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.M.P.J.","family":"Reijnen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.P.","family":"Twine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Malmstedt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Faggioli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.M.E.","family":"Mees","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.R.","family":"Saleem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.avsg.2026.09.003_bib1","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1038\/s41569-018-0005-0","article-title":"Interventions for lower extremity peripheral artery disease","volume":"15","author":"Hiramoto","year":"2018","journal-title":"Nat Rev Cardiol"},{"key":"10.1016\/j.avsg.2026.09.003_bib2","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1016\/j.jcin.2019.03.012","article-title":"Bleeding complications in lower-extremity peripheral vascular interventions: insights from the NCDR PVI registry","volume":"12","author":"Bhardwaj","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.avsg.2026.09.003_bib3","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.jvs.2025.03.394","article-title":"The incidence and significance of delayed bleeding events after lower extremity revascularization in patients with advanced peripheral arterial disease","volume":"82","author":"Hundito","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.003_bib4","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.4581","article-title":"Timing of major postoperative bleeding among patients undergoing surgery","volume":"7","author":"Halme","year":"2024","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.avsg.2026.09.003_bib5","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1056\/NEJMoa2000052","article-title":"Rivaroxaban in peripheral artery disease after revascularization","volume":"382","author":"Bonaca","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib6","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/00000658-199409000-00003","article-title":"Results of a prospective randomized trial evaluating surgery versus thrombolysis for ischemia of the lower extremity: the STILE trial","volume":"220","author":"Graor","year":"1994","journal-title":"Ann Surg"},{"key":"10.1016\/j.avsg.2026.09.003_bib7","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1111\/hae.12750","article-title":"A systematic review of definitions and reporting of bleeding outcome measures in haemophilia","volume":"21","author":"Chai-Adisaksopha","year":"2015","journal-title":"Haemophilia"},{"key":"10.1016\/j.avsg.2026.09.003_bib8","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.avsg.2016.02.028","article-title":"Risk factors for complications after peripheral vascular surgery in 3,202 patient procedures","volume":"36","author":"Kehlet","year":"2016","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.003_bib9","doi-asserted-by":"crossref","DOI":"10.1093\/bjs\/znaf020","article-title":"Endovascular treatment of peripheral arterial disease: Endo-STAR framework for the design, conduct, and reporting of trials","volume":"112","author":"Zywicka","year":"2025","journal-title":"Br J Surg"},{"key":"10.1016\/j.avsg.2026.09.003_bib10","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1111\/j.1538-7836.2005.01204.x","volume":"3","author":"Schulman","year":"2005","journal-title":"J Thromb Haemost"},{"key":"10.1016\/j.avsg.2026.09.003_bib11","doi-asserted-by":"crossref","first-page":"256","DOI":"10.7326\/0003-4819-115-4-256","article-title":"Hemorrhagic events during therapy with recombinant tissue-type plasminogen activator, heparin, and aspirin for acute myocardial infarction results of the Thrombolysis in Myocardial Infarction (TIMI), Phase II Trial","volume":"115","author":"Bovill","year":"1991","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib12","doi-asserted-by":"crossref","first-page":"2736","DOI":"10.1161\/CIRCULATIONAHA.110.009449","article-title":"Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the bleeding academic research consortium","volume":"123","author":"Mehran","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.avsg.2026.09.003_bib13","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/j.jcin.2009.08.016","article-title":"Enoxaparin versus unfractionated heparin in elective percutaneous coronary intervention. 1-year results from the steeple (safety and efficacy of enoxaparin in percutaneous coronary intervention patients, an internationaL randomized evaluation) trial","volume":"2","author":"Montalescot","year":"2009","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.avsg.2026.09.003_bib14","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1056\/NEJM198504043121437","article-title":"The Thrombolysis in Myocardial Infarction (TIMI) trial","volume":"312","year":"1985","journal-title":"N Engl J Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib15","doi-asserted-by":"crossref","first-page":"2203","DOI":"10.1056\/NEJMoa062437","article-title":"Bivalirudin for patients with acute coronary syndromes","volume":"355","author":"Stone","year":"2006","journal-title":"N Engl J Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib16","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1056\/NEJM199309023291001","article-title":"An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction","volume":"329","year":"1993","journal-title":"N Engl J Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib17","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1111\/j.1538-7836.2005.01204.x","article-title":"Definition of major bleeding in clinical investigations of antihemostatic medicinal products in non-surgical patients","volume":"3","author":"Schulman","year":"2005","journal-title":"J Thromb Haemost"},{"key":"10.1016\/j.avsg.2026.09.003_bib18","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1161\/CIRCULATIONAHA.121.054835","article-title":"Effect of rivaroxaban and aspirin in patients with peripheral artery disease undergoing surgical revascularization: insights from the VOYAGER PAD trial","volume":"144","author":"Debus","year":"2021","journal-title":"Circulation"},{"key":"10.1016\/j.avsg.2026.09.003_bib19","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ahj.2024.04.001","volume":"273","author":"Wegerif","year":"2024","journal-title":"Am Heart J"},{"key":"10.1016\/j.avsg.2026.09.003_bib20","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.119.008069","article-title":"Impact of procedural bleeding in peripheral artery disease","volume":"12","author":"Kansal","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.avsg.2026.09.003_bib21","doi-asserted-by":"crossref","first-page":"665","DOI":"10.5603\/CJ.a2015.0044","article-title":"Number of severe bleeding complications according to classification used: is unified classification of bleeding complications really necessary?","volume":"22","author":"Sionova","year":"2015","journal-title":"Cardiol J"},{"key":"10.1016\/j.avsg.2026.09.003_bib22","series-title":"Using the Delphi Method to Establish Expert Consensus","author":"Jorm","year":"2025"},{"key":"10.1016\/j.avsg.2026.09.003_bib23","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1136\/bmj.311.7001.376","article-title":"Qualitative research: consensus methods for medical and health services research","volume":"311","author":"Jones","year":"1995","journal-title":"BMJ"},{"key":"10.1016\/j.avsg.2026.09.003_bib24","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1097\/ACM.0000000000001092","article-title":"Is there a consensus on consensus methodology? Descriptions and recommendations for future consensus research","volume":"91","author":"Waggoner","year":"2016","journal-title":"Acad Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib25","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1177\/0269216317690685","article-title":"Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: recommendations based on a methodological systematic review","volume":"31","author":"J\u00fcnger","year":"2017","journal-title":"Palliat Med"},{"key":"10.1016\/j.avsg.2026.09.003_bib27","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jclinepi.2013.12.002","article-title":"Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies","volume":"67","author":"Diamond","year":"2014","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.avsg.2026.09.003_bib28","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.avsg.2025.07.041","article-title":"Validation of the E-CABG bleeding severity classification in open peripheral arterial surgery","volume":"122","author":"Steunenberg","year":"2026","journal-title":"Ann Vasc Surg"}],"container-title":["Annals of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509626006527?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509626006527?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T02:15:54Z","timestamp":1793153754000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0890509626006527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2027,1]]},"references-count":27,"alternative-id":["S0890509626006527"],"URL":"https:\/\/doi.org\/10.1016\/j.avsg.2026.09.003","relation":{},"ISSN":["0890-5096"],"issn-type":[{"value":"0890-5096","type":"print"}],"subject":[],"published":{"date-parts":[[2027,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Peripheral Arterial Bleeding Classification: A Novel Classification for Safety Reporting in Peripheral Arterial Disease\u2014An International Delphi Consensus Study","name":"articletitle","label":"Article Title"},{"value":"Annals of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.avsg.2026.09.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}