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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...

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Related Experiment Video

Updated: Jul 2, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Complications after peripheral vascular interventions in octogenarians.

Petra Dick1, Borner Barth, Wolfgang Mlekusch

  • 1Department of Angiology, Medical University Vienna, Austria.

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|August 30, 2008
PubMed
Summary

Older patients (80+) face significantly higher risks of complications, especially major ones, after peripheral vascular interventions compared to younger individuals. Further research is needed to identify risk factors and improve safety for this vulnerable group.

Related Experiment Videos

Last Updated: Jul 2, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Interventional Cardiology

Background:

  • Peripheral vascular interventions are common procedures.
  • Patient age is a critical factor influencing outcomes.
  • Octogenarians represent a growing and vulnerable patient demographic.

Purpose of the Study:

  • To compare complication rates after peripheral vascular interventions in patients aged 80 years and older versus those younger than 80.
  • To identify specific complication types that are more prevalent in the elderly population undergoing these procedures.

Main Methods:

  • A prospective study of 619 patients undergoing lower limb revascularization.
  • Comparison of complication incidence (procedure-related, access-site, major) within 30 days post-intervention.
  • Stratification of patients into two groups: aged 80 and older, and under 80.

Main Results:

  • Octogenarians had significantly higher rates of overall complications (18.1% vs. 8.5%) and major complications (11.1% vs. 1.8%).
  • Access site complications, including bleeding, were also markedly increased in the 80+ group (12.5% vs. 4.9%).
  • Multivariable analysis revealed octogenarians had a 2.49-fold increased risk for any complication and a 10.99-fold increased risk for major complications.

Conclusions:

  • Patients aged 80 and older experience a substantially elevated risk of complications, particularly major ones, following peripheral vascular interventions.
  • There is an urgent need to identify specific risk factors within the octogenarian population.
  • Development of targeted preventive strategies is crucial to enhance procedural safety for elderly patients.