The General Prognosis of Patients with Peripheral Arterial Disease Differs According to the Disease Localization

Aboyans, Victor; Desormais, Iléana; Lacroix, P.

doi:10.1016/j.jvs.2010.04.008

Cited by 9 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was also confirmed by Aboyans et al. 32 in a series of 400 patients showing a prevalence of DM for infrainguinal disease.…”

Section: Discussionsupporting

confidence: 71%

“…Apart from the limited patients number that precludes the safe extraction of comparative conclusions regarding the creation of collateral pathways between DM- and non-DM patients, our findings come in alignment with previous large retrospective studies, showing a certain lack of association between DM and aortoiliac disease. 31,32 Indeed, in a series of 2659 patients with arterial occlusive disease, Diehm et al. 31 found that iliac disease was associated significantly with younger age, male gender, and smoking, while infrageniculate disease was associated with higher age, male gender, and DM.…”

Section: Discussionmentioning

confidence: 99%

“…A pooper prognosis of patients with AOID compared with those of more distal disease has been identified, independent of risk factors and comorbidities. 32,33 Since multiple adjustments to control confounders excluded a correlation of different patient risk profiles to prognostic differences, it is tempting to attribute the latter to increased central arterial stiffness seen in AOID. 22,32 In our study there was a death in the immediate postoperative period (mortality 3%) while 10 patients required a minor- or major reintervention within one year (two patients due to infection and bleeding).…”

Section: Discussionmentioning

confidence: 99%

“…The operative management with potential vessel ligation during abdominal or pelvic surgeries could impair important collateral networks. 32,33 Both CTA and MRA can accurately highlight these collateral vessels and contribute to their recognition and protection. 6,34,35,36,37…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Arterial collateral circulation pathways in patients with aortoiliac occlusive disease

et al. 2019

View full text Add to dashboard Cite

Objectives Aortoiliac occlusive disease is a leading cause of morbidity and mortality worldwide. Patients typically present with intermittent claudication or critical limb ischemia but the majority of them remain asymptomatic. Collateral arterial pathways restore the arterial blood supply distal to the lesions. The objective of this study is the description of collateral pathways’ patterns of aortoiliac occlusive disease. Methods Records from the Department of Vascular Surgery of University General Hospital of Alexandroupolis were retrospectively searched from March 2016 to August 2018 for patients suffering from aortoiliac occlusive disease. Results Thirty-three patients (24 males, 9 females) with a mean age of 64.2 ± 11.8 years were included in this study. Twenty-two patients had diabetes mellitus, 25 hypertension, and 16 dyslipidemia. Twenty-two were active smokers. Seventeen patients suffered from intermittent claudication and 16 patients presented with critical limb ischemia. Seven patients had TASC-II B lesions, 10 TASC-II C lesions, and 16 patients had TASC-II D lesions. Systemic collateral pathways were dominant in 17 patients, whereas visceral pathways were prominent in 16 patients. While 62.5% of patients having lesions in the abdominal aorta presented systemic pathways, the lesions located only in the iliac arteries followed visceral patterns or systematic patterns equally. Conclusions Collateral anastomotic networks provide blood supply to regions distal to aortoiliac occlusive lesions. Their pattern is defined mainly by the location of the lesion and does not seem to associate with comorbid factors or the extent of the lesion. Failure to recognize these networks during surgery could lead to limb threatening situations.

show abstract

“…This was also confirmed by Aboyans et al. 32 in a series of 400 patients showing a prevalence of DM for infrainguinal disease.…”

Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Arterial collateral circulation pathways in patients with aortoiliac occlusive disease

et al. 2019

View full text Add to dashboard Cite

show abstract

“…2 Patients with aortoiliac occlusive disease (AIOD) have a different risk factor burden and have greater rates of cardiovascular events compared with patients with more distal disease. [3][4][5] In addition, success rates of aortoiliac revascularization via the use of endovascular or traditional open techniques are superior to those of infrainguinal revascularization. 2 Therefore, enhanced detection of AIOD has the potential to improve clinical care of patients with PAD.…”

Section: Introductionmentioning

confidence: 99%

The Postexercise Common Femoral Artery Doppler Waveform: A Powerful Noninvasive Vascular Laboratory Test to Exclude Aortoiliac Disease

Kalish

Nguyen

Hamburg

et al. 2012

Journal for Vascular Ultrasound

View full text Add to dashboard Cite

Objective The detection of aortoiliac occlusive disease (AIOD) has important clinical implications for patients with peripheral arterial disease. The clinical utility of the common femoral artery (CFA) Doppler waveform (DW) at rest and after exercise in the detection of AIOD was investigated. Methods A retrospective review was performed of 203 consecutive exercise treadmill tests at Boston Medical Center from January 2006 to July 2009 that included both resting and postexercise CFA DW. The study population consisted of 62 patients (124 limbs) who had additional anatomical imaging studies, including computed tomography, magnetic resonance, or conventional angiography. Two blinded observers reviewed the CFA DW and imaging studies. Triphasic or biphasic CFA DW were considered normal. Monophasic CFA DW was considered abnormal. To determine test characteristics, resting and postexercise CFA DW were compared with the imaging findings. Similar analysis was performed for the ankle brachial index (ABI) for comparison. Results Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy (with 95% confidence interval) of the resting CFA DW in detecting a >50% aortoiliac stenosis were 29% (21–37%), 92% (87–97%), 31% (23–39%), 91% (86–96%), and 85% (79–91%), respectively. The results for the postexercise CFA DW in detecting a >50% aortoiliac stenosis were 93% (89–97%), 59% (50–68%), 22% (15–29%), 99% (97–100%), and 63% (55–71%), respectively. Resting CFA DW detected only 4 of 14 limbs with AIOD. Postexercise CFA DW markedly increased the detection of AIOD: 9 limbs with normal resting CFA DW were correctly diagnosed on the basis of postexercise CFA DW for a total of 13 of 14 limbs with AIOD. In addition, postexercise change in ABI was analyzed and only detected 9 of the 14 limbs with AIOD. Conclusions These findings support the use of postexercise CFA DW to enhance the evaluation of clinically important AIOD. The sensitivity of the test to detect AIOD was improved compared with resting CFA DW or postexercise drop in ABI. Normal postexercise CFA DW has high predictive value in excluding significant inflow disease.

show abstract

Aortoiliac Disease

Bhatt,

Kruse

2024

IR Playbook

View full text Add to dashboard Cite

The General Prognosis of Patients with Peripheral Arterial Disease Differs According to the Disease Localization

Cited by 9 publications

References 0 publications

Arterial collateral circulation pathways in patients with aortoiliac occlusive disease

Arterial collateral circulation pathways in patients with aortoiliac occlusive disease

The Postexercise Common Femoral Artery Doppler Waveform: A Powerful Noninvasive Vascular Laboratory Test to Exclude Aortoiliac Disease

Aortoiliac Disease

Contact Info

Product

Resources

About