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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.
Abstract:
Peripheral arterial disease results from the atherosclerotic involvement of arteries of the upper and lower extremities as well as that of the renal and carotid arteries. In view of the importance of its early recognition we have summarized the clinical manifestations, diagnostic procedures and tests, and the current medical and surgical management including percutaneous revascularization. Algorithms that guide in the diagnostic steps and management decisions have been presented.
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