Pain description in patients with isolated proximal (without distal) exercise-related lower limb arterial ischemia.
Among the last 250 claudicants referred to the laboratory for transcutaneous oxygen pressure recording at exercise, we analyzed the symptoms reported by the 36 patients who showed isolated proximal (without distal) ischemia. Among the symptomatic proximal sites cited by these patients, the hip and thigh represent 60%, whereas the buttock is cited in fewer than 25% of cases. Buttock symptoms are reported in only 31% of symptomatic patients. 'Buttock' claudication is probably not the dominant symptom in isolated proximal vascular ischemia. Assessing proximal lower limb ischemia through the sole detection of 'buttock pain' could contribute to the underestimation of proximal vascular ischemia.
Jacquinandi
Vincent
V
Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France.
Bouyé
Philippe
P
Picquet
Jean
J
Leftheriotis
Georges
G
Saumet
Jean-Louis
JL
Abraham
Pierre
P
D000368:Aged; D002081:Buttocks / Q000503:physiopathology; D015444:Exercise; D005080:Exercise Test; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000188:drug therapy / Q000503:physiopathology; D007511:Ischemia / Q000188:drug therapy* / Q000503:physiopathology*; D035002:Lower Extremity / Q000098:blood supply* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D010146:Pain / Q000188:drug therapy / Q000503:physiopathology; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires