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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Optimal management of infrainguinal arterial occlusive disease

David J Pennywell1, Tze-Woei Tan1, Wayne W Zhang1

  • 1Division of Vascular and Endovascular Surgery, Louisiana State University Health Shreveport, Shreveport, LA, USA.

Vascular Health and Risk Management
|November 5, 2014
PubMed

Insights

Peripheral arterial disease (PAD) is a growing concern, particularly in aging populations. Effective management involves risk factor modification, antiplatelet therapy, and surgical interventions like endovascular revascularization or bypass surgery for limb salvage.

Area of Science:

  • Vascular Surgery
  • Cardiology
  • Public Health

Background:

  • Peripheral arterial occlusive disease (PAOD) is a significant health issue, exacerbated by an aging population in Western societies.
  • PAOD presents risks of limb loss and is often associated with comorbidities like cardiovascular and cerebrovascular diseases.

Purpose of the Study:

  • To review current knowledge on peripheral arterial disease (PAD).
  • To summarize evidence-based medical and surgical therapies for infrainguinal arterial occlusive disease.

Main Methods:

  • This is a review article.
  • It synthesizes current literature on PAD and its treatment modalities.

Main Results:

  • Risk factor modification and antiplatelet therapy are crucial for improving survival in PAD patients.
  • Endovascular intervention is increasingly preferred for infrainguinal disease due to technological advancements.
  • Lower extremity bypass surgery remains a vital option for limb salvage in select patients.

Conclusions:

  • PAD management requires a comprehensive approach, including medical therapy and surgical interventions.
  • Treatment decisions for infrainguinal arterial occlusive disease should consider patient risk and available therapeutic options.

Keywords:
claudicationcritical limb ischemiaendovascular infrainguinal interventioninfrainguinal bypassperipheral arterial diseaseperipheral vascular disease

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