Perspectives in Vascular Surgery and Endovascular Therapy

 

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 17, No. 4, 351-361 (2005)
DOI: 10.1177/153100350501700409

Lower-Extremity Arterial Disease

Leslie D. Cunningham, MD, PhD

Michael S. Conte, MD

Boston, MA

Peripheral arterial disease is a common disorder in the aging United States population that is both underdiagnosed and undertreated. In this review, we outline the general approaches to the diagnosis and management of lower-extremity arterial diseases. A broad array of current treatment options, including medical, catheter-based, and open surgical interventions are available for patients with symptomatic peripheral arterial disease. A patient-oriented approach based on anatomic and physiologic principles for the treatment of peripheral arterial disease is presented. Embolic and aneurysmal diseases of the lower-extremity arteries are also briefly reviewed. All surgeons should be aware of these common conditions and their applicable management strategies.

Key Words: peripheral arterial disease • aneurysmal disease • embolic disease • lower extremity


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