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Lower-extremity arterial disease.

Leslie D Cunningham1, Michael S Conte

  • 1Division of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

Perspectives in Vascular Surgery and Endovascular Therapy
|January 4, 2006
PubMed
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Peripheral arterial disease (PAD) is common in older adults and often missed. This review covers diagnosis and management of lower-extremity PAD, including medical, catheter, and surgical options.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Geriatric Medicine

Background:

  • Peripheral arterial disease (PAD) is a prevalent condition in the aging United States population.
  • PAD is frequently underdiagnosed and undertreated, leading to significant morbidity.

Purpose of the Study:

  • To review general approaches for diagnosing and managing lower-extremity arterial diseases.
  • To present current treatment options for symptomatic PAD.
  • To outline a patient-oriented strategy for PAD management.

Main Methods:

  • Literature review of current diagnostic and management strategies for PAD.
  • Discussion of medical, catheter-based, and open surgical interventions.
  • Emphasis on an anatomic and physiologic approach to patient care.

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Main Results:

  • A comprehensive overview of diagnostic tools and therapeutic interventions for lower-extremity PAD is provided.
  • Current treatment landscape includes medical management, endovascular procedures, and open surgery.
  • A structured, patient-centered approach is crucial for effective PAD management.

Conclusions:

  • Effective management of PAD requires awareness of diagnostic methods and treatment options.
  • A tailored approach considering patient anatomy and physiology optimizes outcomes.
  • Surgeons must be knowledgeable about PAD and its management strategies.