Decision making in the dysvascular lower extremity.
Given the aging population, the number of patients at risk for peripheral arterial disease and critical limb ischemia will increase in the upcoming decade. Using a focused history and physical examination, along with a combination of noninvasive physiologic testing and noninvasive and invasive imaging modalities, one can accurately assess the location and physiologic effect of peripheral arterial disease. This assessment then allows the selection of the most appropriate treatment option for each patient. Treatment options may include exercise and risk-factor modification, amputation, and endovascular or surgical revascularization or a combination of both.
Aulivola
Bernadette
B
Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL 60153, USA. baulivola@lumc.edu
Craig
Robert M
RM
D000208:Acute Disease; D002908:Chronic Disease; D003925:Diabetic Angiopathies / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D023821:Limb Salvage / Q000379:methods*; D035002:Lower Extremity / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D018570:Risk Assessment; D013997:Time Factors; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods*