Essentials in the diagnosis and management of peripheral arterial disease

Arturo Medina-Ruiz1, Magda E Sánchez-Vélez

  • 1Cardiology Section, Department of Medicine, University of Puerto Rico School of Medicine, San Juan, Puerto Rico 00936-5067.

Insights

Peripheral arterial disease (PAD) affects limb, renal, and carotid arteries due to atherosclerosis. Early recognition, diagnosis, and management, including revascularization, are crucial for patient outcomes.

Area of Science:

  • Vascular Medicine
  • Cardiology
  • Interventional Radiology

Background:

  • Peripheral arterial disease (PAD) stems from atherosclerosis affecting arteries in the limbs, kidneys, and neck.
  • Early detection of PAD is critical for effective management and improved patient prognosis.

Purpose of the Study:

  • To provide a comprehensive overview of PAD, encompassing clinical signs, diagnostic methods, and treatment strategies.
  • To present algorithms for guiding diagnostic and management decisions in PAD patients.

Main Methods:

  • Literature review and synthesis of current clinical practices and research findings related to PAD.
  • Development of diagnostic and management algorithms based on established guidelines and evidence.

Main Results:

  • Detailed summary of PAD clinical manifestations across affected arterial beds.
  • Outline of diagnostic procedures, including imaging and non-invasive tests.
  • Review of medical, surgical, and endovascular treatment options, highlighting percutaneous revascularization.

Conclusions:

  • Emphasizes the importance of early PAD recognition for timely intervention.
  • Highlights the utility of presented algorithms in standardizing diagnostic and treatment pathways.
  • Underscores the multidisciplinary approach required for optimal PAD management.

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