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Article

Contemporary management of peripheral arterial disease

III. Endovascular and surgical management

Amjad AlMahameed, MD, John R. Bartholomew, MD, Amjad AlMahameed, MD, MPH, FACP and Deepak L. Bhatt, MD, FACC, FSCAI, FESC, FACP
Cleveland Clinic Journal of Medicine October 2006, 73 (10 suppl 4) S45-S51;
Amjad AlMahameed
Harvard Medical School, Beth Israel Deaconess Medical Center
Roles: Supplement Editor and Activity Director
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John R. Bartholomew
Cleveland Clinic
Roles: Supplement Editor and Activity Director
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Amjad AlMahameed
Division of Cardiology, Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA
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  • For correspondence: [email protected]
Deepak L. Bhatt
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH
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ABSTRACT

Traditional indications for invasive treatment in patients with peripheral arterial disease (PAD) have been salvage of a threatened limb or improvement of functional capacity in cases of disabling intermittent claudication, but advances in interventional therapy may be lowering the threshold for these therapies. Percutaneous transluminal angioplasty (PTA), with or without stent placement, is the most common endovascular intervention in patients with occlusive lower extremity PAD. In general, PTA is best suited to cases of short-segment stenosis or large-bore vessels, whereas surgery is best applied to multilevel occlusions involving smaller and more distant vessels. This article reviews endovascular therapy, catheter-based thrombolysis, and surgical revascularization procedures in patients with PAD, with special attention to recommendations from new American College of Cardiology/American Heart Association guidelines.

  • © 2006 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 73 (10 suppl 4)
Cleveland Clinic Journal of Medicine
Vol. 73, Issue 10 suppl 4
1 Oct 2006
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Contemporary management of peripheral arterial disease
Amjad AlMahameed, John R. Bartholomew, Amjad AlMahameed, Deepak L. Bhatt
Cleveland Clinic Journal of Medicine Oct 2006, 73 (10 suppl 4) S45-S51;

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Contemporary management of peripheral arterial disease
Amjad AlMahameed, John R. Bartholomew, Amjad AlMahameed, Deepak L. Bhatt
Cleveland Clinic Journal of Medicine Oct 2006, 73 (10 suppl 4) S45-S51;
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