Management of Patients After Endovascular Interventions for Peripheral Artery Disease

Sobieszczyk, Piotr; Eisenhauer, Andrew C.

doi:10.1161/circulationaha.113.001560

Cited by 56 publications

(29 citation statements)

References 62 publications

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“…15,83 The exact timing and frequency of surveillance is not uniform and should be tailored to important issues such as the presenting clinical syndrome, the complexity of intervention performed and the anatomy treated. 126 Surveillance includes inquiring about recurrent symptoms, compliance with medical therapy and a supervised walking program, as well as general cardiovascular risk factor optimization. The physical examination focuses on the quality of all pulses and lower extremity perfusion, tissue integrity, and a survey for the stigmata of distal embolization.…”

Section: Clinical Surveillancementioning

confidence: 99%

Endovascular Intervention for Peripheral Artery Disease

Thukkani

Kinlay

2015

Circulation Research

220

158

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Advances in endovascular therapies during the past decade have broadened the options for treating peripheral vascular disease percutaneously. Endovascular treatment offers a lower risk alternative to open surgery in many patients with multiple comorbidities. Noninvasive physiological tests and arterial imaging precede an endovascular intervention and help localize the disease and plan the procedure. The timing and need for revascularization are broadly related to the 3 main clinical presentations of claudication, critical limb ischemia, and acute limb ischemia. Many patients with claudication can be treated by exercise and medical therapy. Endovascular procedures are considered when these fail to improve quality of life and function. In contrast, critical limb ischemia and acute limb ischemia threaten the limb and require more urgent revascularization. In general, endovascular treatments have greater long-term durability for aortoiliac disease than femoral popliteal disease. Infrapopliteal revascularization is generally reserved for critical and acute limb ischemia. Balloon angioplasty and stenting are the mainstays of endovascular therapy. New well-tested innovations include drug-eluting stents and drug-coated balloons. Adjunctive devices for crossing chronic total occlusions or debulking plaque with atherectomy are less rigorously studied and have niche roles. Patients receiving endovascular procedures need a structured surveillance plan for follow-up care. This includes intensive treatment of cardiovascular risk factors to prevent myocardial infarction and stroke, which are the main causes of death. Limb surveillance aims to identify restenosis and new disease beyond the intervened segments, both of which may jeopardize patency and lead to recurrent symptoms, functional impairment, or a threatened limb.

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Section: Clinical Surveillancementioning

confidence: 99%

Endovascular Intervention for Peripheral Artery Disease

Thukkani

Kinlay

2015

Circulation Research

220

158

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“…Our sample reported smoking 04 cases (44.4%), lipid metabolism disorders has 08 cases (88.9%). According to other documents [2,3], smoking and lipid metabolic disorders becomes a factor accelerating the process of pathological blood vessels, increases the severity of the disease and significant impact on disease chronic arterial occlusion of the lower extremities.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Endovascular Intervention Therapy Results in Chronic Below-The-Knee (BTK) Arterial Occlusive Disease

Le¹

2016

Angiol

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Objective: To evaluate the results of endovascular intervention therapy in Below-The-Knee (BTK) arterial disease. Methods:Retrospective descriptive series of cases. We had researched from January 2015 to December 2015 at Vascular Surgery department in Cho Ray hospital.Results: The study sample of 09 patients. We had counted 55.6% female rates, average ages 74.56 ± 9.7. Chief complain symptom was a painfully, 66.6% sample. Percutaneous transluminal angioplasty (PTA) performed by 77.8%, PTA and stent replacement combination accounted for 22.2%. BTK intervention simple accounted for 66.7%, other combination was 33.3%. The procedure times had 161 ± 38.7 minutes. The time of hospitalization average was 6 ± 1.85 days. Thrombosis artery complications had got into 11.1%, hematoma had got 11.1% and mortality rate had got 1 case in our research. Technique and short-term results success rates were 88.9% and 88.9%, respectively. Conclusions:The intervention endovascular therapy of chronic arterial occlusion of the lower extremity less invasive method which is safe, effective, shorter hospital stays and faster recovery of patients. Results of short-term achieve a high success rate.

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“…Physiological tests are used to help identify early recurrence of disease, for example, by identifying worsening ankle-brachial index or exercise tests. 1,4,[8][9][10] Although the value of simple arterial imaging with ultrasound is debated, 10 CT and MR arterial imaging are usually not needed unless there is some diagnostic uncertainty or further revascularization is anticipated (eg, treating restenosis).…”

Section: Current Clinical and Research Approaches To Assessing Padmentioning

confidence: 99%

“…Currently, imaging pre-and post-revascularization by percutaneous or bypass methods identifies a diseased arterial segment suitable for treatment. 10 The clinical value of a multimodality imaging test measuring regional blood flow that is a product of large artery disease, small artery disease, and microvascular function requires specific evaluation in patients with PAD.…”

Section: Multimodality Imagingmentioning

confidence: 99%

Prospects for Multimodality Imaging in Peripheral Artery Disease

Kinlay

2014

Circ: Cardiovascular Imaging

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Management of Patients After Endovascular Interventions for Peripheral Artery Disease

Cited by 56 publications

References 62 publications

Endovascular Intervention for Peripheral Artery Disease

Endovascular Intervention for Peripheral Artery Disease

Evaluation of Endovascular Intervention Therapy Results in Chronic Below-The-Knee (BTK) Arterial Occlusive Disease

Prospects for Multimodality Imaging in Peripheral Artery Disease

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