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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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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...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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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...
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Peripheral Artery Disease I: Introduction01:30

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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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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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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...
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Peripheral Artery Disease IV: Nursing Management01:26

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 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,...
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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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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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[Atherectomy for peripheral arterial disease].

Louise Skovgaard Londero1, Annette Langager Høgh, Jes Sanddal Lindholt

  • 1Hjerte-, lunge- og karkirurgisk Afdeling, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C. louise.skovgaard.londero@rsyd.dk.

Ugeskrift for Laeger
|April 16, 2015
PubMed
Summary

Peripheral arterial disease management increasingly uses endovascular procedures. Atherectomy, a potential alternative, lacks sufficient evidence for use in Denmark, where it is not currently performed.

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Peripheral Arterial Disease Management

Background:

  • Symptomatic peripheral arterial disease (PAD) management follows established guidelines.
  • Vascular reconstructions have increased due to more endovascular procedures.
  • Atherectomy is an emerging endovascular technique for PAD.

Purpose of the Study:

  • To evaluate the current evidence for atherectomy in PAD treatment.
  • To assess the applicability of atherectomy in the Danish healthcare system.
  • To compare atherectomy with established PAD treatments.

Main Methods:

  • Review of national and international guidelines for PAD.
  • Analysis of a recent Cochrane review on atherectomy.
  • Assessment of atherectomy's current status and evidence in Denmark.

Main Results:

  • The number of vascular reconstructions, particularly endovascular procedures, has risen.
  • A Cochrane review analyzed atherectomy as an alternative PAD treatment.
  • Atherectomy is not performed in Denmark, and supporting evidence is limited.

Conclusions:

  • Current evidence does not support atherectomy as an alternative to established PAD treatments in Denmark.
  • Further research and clinical evaluation are needed to establish atherectomy's role.
  • National guidelines and practice patterns in Denmark do not currently include atherectomy.