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Sede
Social
Colegio Oficial
de Médicos
de Barcelona
Paseo de la Bonanova, 47
08017 Barcelona
Telf.: 93 863 02 38
Fax: 93 863 05 58
secretariaseacv@telefonica.net |
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Lunes, 23 de Enero de 2012
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| Publicación
Española del Mes Nº 5 |
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Son las 01:26:34 horas del 5-2-2012 |
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Archivo PDF
(148 KB)
Peripheral artery disease: pathophysiology, diagnosis
and treatment.
Serrano Hernando FJ, Martín Conejero A.
Rev Esp Cardiol. 2007;60:969-82.
Servicio de Cirugía Vascular, Hospital
Clínico San Carlos, Madrid, España.
fserrano.hcsc@salud.madrid.org.
Factor de impacto de Rev Esp Cardiol = 2.176 (según
el Journal Citation Report, 2006).
Peripheral artery disease is one of the most prevalent
conditions, and it frequently coexists with vascular disease
in other parts of the body. Early diagnosis is important
for improving the patient's quality of life and for reducing
the risk of serious secondary vascular events such as
acute myocardial infraction (AMI) or stroke. The best
noninvasive measure for identifying the presence of occlusive
arterial disease is the ankle-brachial index, which can
also be used to indicate the prognosis of the affected
extremity and to predict the likelihood of AMI during
follow-up. Intermittent claudication in the lower limbs
is the most common clinical presentation. The presence
of critical ischemia (i.e., with rest pain or trophic
changes) indicates the need for prompt revascularization
because of the high risk of limb amputation. The more
proximal the affected arterial segment, the better the
outcome of the procedure. Endovascular treatment is usually
reserved for lesions affecting multiple segments. It gives
poorer results in occluded arteries. In extensive disease,
conventional surgery is usually the best option.
PMID: 17915154 [PubMed - in process]. |
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