Hands-on, simulation based peripheral arterial disease workshop for radiology residents and medical students

2017 ◽  
Vol 28 (2) ◽  
pp. S191-S192
Author(s):  
M Meek ◽  
J Meek ◽  
R Li ◽  
D Bricco ◽  
L Deloney
Keyword(s):  
Medical Students ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Simulation Based ◽  
Hands On ◽  
Radiology Residents ◽  
Peripheral Arterial

scholarly journals An interview-based survey to assess the knowledge of peripheral arterial disease among medical students

2016 ◽  
Vol 11 (3) ◽  
pp. 230-235 ◽  
Author(s):  
Musaad H. AlHamzah ◽  
Mohamad A. Hussain ◽  
Saad A. Bin Ayeed ◽  
Mohammed A. Al-Omran
Keyword(s):  
Medical Students ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Peripheral Arterial

The Use of Segmental Femoropopliteal Duplex Scanning for Initial Vascular Laboratory Testing of Patients with Peripheral Arterial Disease

2003 ◽  
Vol 27 (3) ◽  
pp. 157-160 ◽  
Author(s):  
Annmarie Dunican ◽  
Robert Patterson ◽  
Robert Scissons ◽  
Joseph Gillis ◽  
Albert Weyman ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Lower Extremity ◽  
Arterial Disease ◽  
Duplex Scanning ◽  
Waveform Analysis ◽  
Laboratory Evaluation ◽  
Mcnemar Test ◽  
Hands On ◽  
Vascular Laboratory ◽  
Peripheral Arterial

Introduction —Segmental femoropopliteal duplex scanning in conjunction with ankle plethysmographic waveforms and ankle/brachial indices (ABI) was evaluated as an alternative to traditional physiologic testing for the initial vascular laboratory evaluation of patients with lower extremity peripheral arterial disease (PAD). To assess the potential of this evaluation, patients with PAD were evaluated in the vascular laboratory with (1) pulse volume recording and segmental pressures (SPVR) and (2) femoropopliteal duplex imaging with pulsed Doppler waveform analysis and bilateral ankle plethysmographic waveforms and ABI (SDuplex). Methods. —SPVR and SDuplex data were prospectively obtained from 39 patients and 72 limbs. Separate technologists performed the physiologic and duplex examinations independently. Angiograms performed within 90 days were used as the gold standard for evaluating results from both procedures. Results from both examinations were interpreted for severe (>50% diameter reduction) inflow and superior femoral artery (SFA) disease. A McNemar test was performed on the SPVR and SDuplex paired data, and direct (hands-on) examination time was calculated for both procedures. Results. —Angiograms were available for 20 of 72 (28%) of the limbs evaluated and demonstrated no significant differences between both methods for evaluating inflow (femoral or above) disease, yet SDuplex was superior to SPVR for evaluating SFA disease. McNemar test data also suggested that SDuplex was superior to SPVR in diagnosing severe disease at the SFA level. The average time for SPVR examination performance was 28 minutes and 31 minutes for SDuplex with ABI and ankle waveforms. Conclusions. —SDuplex was superior to SPVR for evaluating SFA disease. No noteworthy differences in direct (hands-on) examination times for both procedures suggest the additional benefit of enhanced reimbursement. With superior SFA accuracy, more site-specific information, and greater reimbursement potential, SDuplex should be considered an alternative to the traditional physiologic examination for evaluating patients with lower extremity PAD.

Management of Peripheral Arterial Disease

2006 ◽  
Vol 39 (3) ◽  
pp. 44
Author(s):  
WILLIAM E. GOLDEN ◽  
ROBERT H. HOPKINS
Keyword(s):  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Peripheral Arterial

Surgical and endovascular hybrid approach in peripheral arterial disease of the lower limbs

VASA ◽  
2016 ◽  
Vol 45 (5) ◽  
pp. 417-422 ◽  
Author(s):  
Anouk Grandjean ◽  
Katia Iglesias ◽  
Céline Dubuis ◽  
Sébastien Déglise ◽  
Jean-Marc Corpataux ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Peripheral Arterial Disease ◽  
Limb Salvage ◽  
Hybrid Approach ◽  
Arterial Disease ◽  
Early Mortality ◽  
Secondary Patency ◽  
Limb Salvage Rate ◽  
Peripheral Arterial ◽  
Salvage Rate

Abstract. Background: Multilevel peripheral arterial disease is frequently observed in patients with intermittent claudication or critical limb ischemia. This report evaluates the efficacy of one-stage hybrid revascularization in patients with multilevel arterial peripheral disease. Patients and methods: A retrospective analysis of a prospective database included all consecutive patients treated by a hybrid approach for a multilevel arterial peripheral disease. The primary outcome was the patency rate at 6 months and 1 year. Secondary outcomes were early and midterm complication rate, limb salvage and mortality rate. Statistical analysis, including a Kaplan-Meier estimate and univariate and multivariate Cox regression analyses were carried out with the primary, primary assisted and secondary patency, comparing the impact of various risk factors in pre- and post-operative treatments. Results: 64 patients were included in the study, with a mean follow-up time of 428 days (range: 4 − 1140). The technical success rate was 100 %. The primary, primary assisted and secondary patency rates at 1 year were 39 %, 66 % and 81 %, respectively. The limb-salvage rate was 94 %. The early mortality rate was 3.1 %. Early and midterm complication rates were 15.4 % and 6.4 %, respectively. The early mortality rate was 3.1 %. Conclusions: The hybrid approach is a major alternative in the treatment of peripheral arterial disease in multilevel disease and comorbid patients, with low complication and mortality rates and a high limb-salvage rate.

Markers of arterial stiffness in peripheral arterial disease

VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 341-348 ◽  
Author(s):  
Marc Husmann ◽  
Vincenzo Jacomella ◽  
Christoph Thalhammer ◽  
Beatrice R. Amann-Vesti
Keyword(s):  
Arterial Stiffness ◽  
Peripheral Arterial Disease ◽  
Pulse Wave ◽  
Augmentation Index ◽  
Arterial Disease ◽  
Care Physician ◽  
Additional Information ◽  
Non Invasive ◽  
Assessment Techniques ◽  
Peripheral Arterial

Abstract. Increased arterial stiffness results from reduced elasticity of the arterial wall and is an independent predictor for cardiovascular risk. The gold standard for assessment of arterial stiffness is the carotid-femoral pulse wave velocity. Other parameters such as central aortic pulse pressure and aortic augmentation index are indirect, surrogate markers of arterial stiffness, but provide additional information on the characteristics of wave reflection. Peripheral arterial disease (PAD) is characterised by its association with systolic hypertension, increased arterial stiffness, disturbed wave reflexion and prognosis depending on ankle-brachial pressure index. This review summarises the physiology of pulse wave propagation and reflection and its changes due to aging and atherosclerosis. We discuss different non-invasive assessment techniques and highlight the importance of the understanding of arterial pulse wave analysis for each vascular specialist and primary care physician alike in the context of PAD.

Secondary medical prevention in patients with peripheral arterial disease - Prescriptions of vascular surgeons and medical doctors (angiologists) in a multidisciplinary vascular centre

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Klein-Weigel ◽  
Gutsche-Petrak ◽  
Wolbergs ◽  
Köning ◽  
Flessenkamper
Keyword(s):  
Peripheral Arterial Disease ◽  
Oral Anticoagulants ◽  
Arterial Disease ◽  
Disease Stage ◽  
Channel Blockers ◽  
Medical Doctors ◽  
Vascular Surgeon ◽  
Medical Prevention ◽  
Number Of Patients ◽  
Peripheral Arterial

Background: We compared medical secondary prevention in patients with peripheral arterial disease stage II (Fontaine) located in the femoro-popliteal artery managed by vascular surgeons and medical doctors / angiologists in our multidisciplinary vascular center. Patients and methods: We retrospectively analyzed demission protocols of in-hospital treatments between 01.01.2007 and 20.06.2008. Results: We surveyed 264 patients (54.2 % women; mean age 67.52 ± 8.98 yrs), 179 (67.8 %) primarily treated by medical doctors / angiologists and 85 (32.2 %) primarily managed by vascular surgeons. Medical doctors / angiologists treated more women (n = 109) than men (n = 34), (p = 0.002) and documented smoking and diabetes mellitus more often (p < 0.001) than vascular surgeons. Besides, patients had similar cardiovascular risk profiles and concomitant diseases, vascular surgeons prescribed 5.47 ± 2.26 drugs, medical doctors / angiologists 6.37 ± 2.67 (p = 0.005). Overall, 239 (90.5 %) patients were on aspirin, 180 (68.2 %) on clopidogrel, and 18 (6.9 %) on oral anticoagulants. Significantly more patients treated by medical doctors / angiologists received clopidogrel (169 versus 11; p < 0.001), significantly more surgical patients received oral anticoagulants (11 versus 7; p = 0.016). The number of patients without prescriptions for any antithrombotic therapy was 6 (6.9 %) in patients treated by vascular surgeons and 0 (0 %) in patients managed by medical doctors / angiologists (p = 0.001). Prescription-rates of β-blockers, ACE-inhibitors, Angiotensin II-antangonists, calcium channel blockers, and diuretics were statistically not different between the two disciplines, but statins were prescribed significantly more often by medical doctors / angiologists (139 versus 49; p < 0001). With the exceptions of Clopidogrel (women > men) and diuretics (men > women) we observed no gender-specific prescriptions. Conclusions: We observed high prescriptions rates of secondary medical prevention in patients primarily treated by medical doctors / angiologists and vascular surgeons. We believe that this result is highly influenced by our multidisciplinary approach. Nevertheless, efforts have to be made to raise vascular surgeon’s awareness of statin use and complete prescription of antithrombotic and antiplatelet drugs.

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