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Peripheral Artery Disease: A Comprehensive Updated Review
Garba Rimamskep Shamaki1, Favour Markson2, Demilade Soji-Ayoade3
1Department of Internal Medicine Unity Hospital/Rochester Regional Health Rochester, NY.
Insights
Peripheral arterial disease (PAD) affects over 200 million globally, leading to amputations and increased mortality. This review covers PAD
Area of Science:
- Vascular Medicine
- Cardiovascular Disease
- Public Health
Background:
- Peripheral arterial disease (PAD) impacts over 200 million worldwide, contributing to amputations and significant mortality.
- PAD is a marker for systemic atherosclerosis, elevating risks of stroke, myocardial infarction, and cardiovascular death.
- Despite advances in treatment, PAD prevalence remains high.
Purpose of the Study:
- To provide current information on the clinical course of PAD.
- To detail diagnostic methods for PAD.
- To review medical and interventional management strategies for PAD.
Main Methods:
- Literature review of clinical studies and guidelines on PAD.
- Analysis of epidemiological data on PAD prevalence and outcomes.
- Synthesis of information on conservative, pharmacological, and revascularization treatments for PAD.
Main Results:
- PAD affects over 200 million globally, with significant amputation rates and mortality.
- Interventional procedures like angioplasty with stents improve outcomes over medical therapy alone.
- PAD indicates broader atherosclerotic disease, increasing risks for major adverse cardiovascular events.
Conclusions:
- Early diagnosis and comprehensive management are crucial for PAD patients.
- Percutaneous transluminal angioplasty offers improved outcomes for PAD.
- Further research and public health initiatives are needed to address the high prevalence and impact of PAD.
Abstract:
Peripheral arterial disease is estimated to affect more than 200 million people worldwide. Although more than 50% of those affected are asymptomatic, it accounts for 3%-4% of amputations and a crude 5-year death rate of 82.4 deaths per 1000 patient-years when adjusted for duration of follow-up. Additionally, peripheral artery disease is often an indicator of obstructive atherosclerotic disease involvement of cerebral and coronary vessels, consequently increasing the risk of stroke, cardiovascular death, and myocardial infarction in these patient populations. The management of peripheral arterial disease includes conservative therapies, pharmacological treatments, interventional and surgical revascularization of blood vessels. Percutaneous transluminal angioplasty with balloons and stents has improved clinical outcomes compared to medical treatment alone. Despite these advances, the prevalence of peripheral arterial disease remains high. This review article aims to provide focused, up-to-date information on the clinical course, diagnosis, medical and interventional approach of the management of peripheral artery disease.
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