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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Vascular claudication: how to individualize treatment

B H Gray1, T M Sullivan

  • 1Peripheral Interventional Laboratory, Cleveland Clinic, USA.

Cleveland Clinic Journal of Medicine
|October 6, 1997
PubMed

Insights

Most intermittent claudication patients benefit from risk factor modification, not revascularization. An assessment of coronary and carotid arteries is recommended, considering procedure risks and benefits.

Area of Science:

  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Advances in angioplasty, stenting, and surgical techniques offer more treatment options for claudication.
  • However, invasive procedures are not always necessary for intermittent claudication.

Purpose of the Study:

  • To present a treatment approach for intermittent claudication.
  • To emphasize risk factor modification and appropriate patient selection for interventions.

Main Methods:

  • Review of current treatment strategies for intermittent claudication.
  • Assessment of coronary and carotid arteries is highlighted.
  • Treatment decisions based on risk factor modification, symptom severity, and procedural risks/benefits.

Main Results:

  • Most patients with intermittent claudication do not require revascularization or angiography.
  • Risk factor modification is a primary treatment strategy.
  • Coronary and carotid artery assessment is crucial for comprehensive patient evaluation.

Conclusions:

  • A tailored treatment approach is essential for intermittent claudication.
  • Non-invasive management and risk factor control are paramount for most patients.
  • Careful consideration of procedural risks versus benefits guides revascularization decisions.

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