Peripheral Arterial Disease - A Practical Approach最新文献

Cardiovascular Risk Evaluation in Patients with Critical Leg Ischemia before Vascular Surgery 血管手术前重症腿部缺血患者的心血管风险评估

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.78046

M. Stoia, M. Mocan, C. Goidescu, Diana Larisa Hognogi Mocan, R. Chiorescu

{"title":"Cardiovascular Risk Evaluation in Patients with Critical Leg Ischemia before Vascular Surgery","authors":"M. Stoia, M. Mocan, C. Goidescu, Diana Larisa Hognogi Mocan, R. Chiorescu","doi":"10.5772/INTECHOPEN.78046","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78046","url":null,"abstract":"Assessment of the role and investigation particularities (comparative and complementary aspects, hierarchies, preferential indication) adapted to the context of a global cardiovascular (CV) evaluation, including clinical elements, non-invasive and invasive imagistic examination in order to estimate the cardiovascular risk (CVR) and to define the revas cularization therapeutic strategy in patients with critical leg ischemia (CLI). Complete and accessible evaluation involves accessible means of investigation like clinical exam, electrocardiogram, cardiac biomarkers, arterial, cardiac, and carotid ultrasonography which could be affordable in all cardiovascular departments. Non-invasive stress tests, coronary and arterial cervical angiography imaging leads in selected cases and where is possible to the identification of significant coronary and/or carotid lesions potential responsible for cardiac and cerebrovascular events after vascular surgery. The evaluation algorithm allows better risk stratification of patients with CLI in high and intermediate CVR. The “poly-arterial” status in patients with CLI changes the intervention manage- ment with a more intensive pre-operative medical treatment, while the coronary and the carotid arteries revascularization might precedes the peripheral arterial revascularization procedures, in order to reduce the CV risk status.","PeriodicalId":252049,"journal":{"name":"Peripheral Arterial Disease - A Practical Approach","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129123075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetics in Peripheral Artery Disease 外周动脉疾病的遗传学

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.77209

A. Shemirani, K. Zsóri, A. Jávor, Z. Csiki

引用次数: 0

Percutaneous Reconstruction Techniques: Popliteal Artery Approach for Chronic Total Occlusion of Superficial Femoral and Iliac Arteries 经皮重建技术:腘动脉入路治疗慢性股浅动脉和髂浅动脉全闭塞

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.78045

O. Tanyeli

{"title":"Percutaneous Reconstruction Techniques: Popliteal Artery Approach for Chronic Total Occlusion of Superficial Femoral and Iliac Arteries","authors":"O. Tanyeli","doi":"10.5772/INTECHOPEN.78045","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78045","url":null,"abstract":"Peripheral artery disease (PAD) is one of the most common diseases affecting quality of life. Claudication is the most frequent sign. If left untreated, PAD may cause serious daily life disturbances and may cause extremity losses, especially in elderly and diabetic patients. Restoration of blood flow from the aorta to the femoral arteries and from the femoral arteries to the popliteal arteries necessitates complex operational procedures. Most of these patients have concomitant coronary diseases. In such patients, open surgical repair with vascular grafts by the aid of general anesthesia increases both mortality and morbidity. Although femoral arteries are the most common site for PAD, iliac impairment is not so rare. In patients with combined iliac and femoral artery diseases, popliteal artery approach is a safe and effective technique for percutaneous revascularization. In this chapter, we share our experience with interventional percutaneous revascularization through popliteal approach, mainly using drug eluting balloons and stents, by the aid of mechanical thrombectomy devices with the highlights of current literature review.","PeriodicalId":252049,"journal":{"name":"Peripheral Arterial Disease - A Practical Approach","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133145404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Extracranial Carotid Atherosclerosis in the Patients with Transient Ischemic Attack 颅内外颈动脉粥样硬化与短暂性脑缺血发作的关系

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.75792

M. S. Tai, J. K. Khoo, Mohamed AbdusalamElwaifa

引用次数: 2

Risk Factors in the Patients with Extracranial Carotid Atherosclerosis 颅外颈动脉粥样硬化患者的危险因素

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.75808

M. S. Tai, Julia Sien Yuin Liew, Sheun Yu Mo, Mohamed Abdusalam Elwaifa

引用次数: 1

The Role of Imaging in Peripheral Arterial Disease 外周动脉疾病影像学的作用

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.75675

S. Willner

引用次数: 3

Introductory Chapter: Superficial Femoral Arterial Disease 导论章:股浅动脉疾病

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.81097

Yashwant Agrawal, Abhishek Ojha, Nishtha Sareen

引用次数: 0

Interventional Strategies for the Superficial Femoral Artery 股浅动脉介入治疗策略

Peripheral Arterial Disease - A Practical Approach Pub Date : 2018-10-17 DOI: 10.5772/INTECHOPEN.76724

Rudin Gjeka

{"title":"Interventional Strategies for the Superficial Femoral Artery","authors":"Rudin Gjeka","doi":"10.5772/INTECHOPEN.76724","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76724","url":null,"abstract":"The incidence of peripheral arterial disease (PAD) is rising due to significant increase in metabolic disease such as diabetes mellitus, increase in aging population, and tobacco use. Superficial femoral artery (SFA) disease is the leading cause of peripheral artery disease and claudication. In the last decades, several technologies/techniques have been developed for the treatment of SFA atherosclerotic disease including balloon angioplasty, balloon expanding stents, self-expanding stents, drug-eluting balloon, and atherectomy. The advances made in technology have significantly improved the quality of the balloons, but they have limitations especially in long and calcified lesions. While the initial studies using stainless steel stents failed to show any significant difference in outcomes, understanding the pathophysiology and improvement in stent technologies has shown significant reduction of restenosis by fiveto sevenfold when compared to angioplasty alone. Atherectomy is another modality of plaque modification and treatment, which can be done as a stand-alone treatment or more commonly combined with PTA and/or stenting. Finally, several randomized studies and registries have showed that with improvement in technology, there is significant improvement in long-term outcomes of SFA atherosclerotic disease.","PeriodicalId":252049,"journal":{"name":"Peripheral Arterial Disease - A Practical Approach","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121569309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0