Global revascularization
J S Jenkins1, T J Collins, S R Ramee
1Department of Cardiology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA.
Ochsner Journal
|July 19, 2011
Summary
Percutaneous endovascular intervention offers a vital treatment for peripheral vascular disease, especially for non-surgical candidates. Cardiologists can effectively apply coronary angioplasty skills to peripheral interventions, improving patient care.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Radiology
Background:
- Peripheral vascular disease (PVD) affects many patients unsuitable for surgery.
- Cardiologists possess transferable skills from coronary angioplasty to peripheral interventions.
- Co-existing coronary artery disease is common in patients with atherosclerotic PVD.
Purpose of the Study:
- To highlight the effectiveness of percutaneous endovascular intervention for PVD.
- To emphasize the transferability of interventional cardiology skills to peripheral vasculature.
- To advocate for the integrated care of PVD patients by cardiologists.
Main Methods:
- Review of percutaneous endovascular intervention techniques.
- Application of coronary angioplasty skills to peripheral vascular disease.
- Analysis of patient and lesion selection criteria for peripheral interventions.
Main Results:
- Percutaneous endovascular intervention provides a successful treatment alternative for non-surgical PVD patients.
- Technical skills for coronary angioplasty are transferable to peripheral interventions.
- Comprehensive understanding of PVD natural history and treatment options is crucial.
Conclusions:
- Interventional cardiologists are well-positioned to perform percutaneous endovascular interventions for PVD.
- Integrated care, including pre- and post-procedure management by the interventionalist, offers patient advantages.
- Cardiologist involvement is appropriate given the high incidence of coronary artery disease in PVD patients.
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