RT Journal Article
SR Electronic
T1 Contemporary management of peripheral arterial disease
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP S45
OP S51
VO 73
IS 10 suppl 4
A1 AlMahameed, Amjad
A1 Bartholomew, John R.
A1 AlMahameed, Amjad
A1 Bhatt, Deepak L.
YR 2006
UL http://www.ccjm.org/content/73/10_suppl_4/S45.abstract
AB 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.