ESC Guidelines on the Diagnosis and Treatment of Peripheral Artery Diseases

Tendera, M; Aboyans, Victor; Bartelink, Marie-Louise; Baumgartner, Iris; Clément, Denis; Collet, Jean‐Philippe; Cremonesi, Alberto; Carlo, Marco De; Erbel, Raimund; Fowkes, F. G. R.; Heras, Magda; Kownator, Serge; Minar, Erich; Östergren, Jan; Poldermans, Don; Riambau, Vincent; Roffi, Marco; Röther, Joachim; Sievert, Horst; Sambeek, Marc van; Zeller, Thomas

doi:10.1016/j.rec.2011.11.007

Cited by 70 publications

(96 citation statements)

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“…An expert consensus was achieved at the end of this dialogue and a new classifi cation system was proposed. We decided to follow previous classifi cation to determine the class of recommendation and the level of evidence [12]. The strength of recommendation (Class of recommendations, CoR) of particular options and the level of evidence (LoE) were weighed and graded according to predefi ned scales, as presented in Table I.…”

Section: Methodsmentioning

confidence: 99%

Statement for Doppler waveforms analysis

Mahé

Boulon

Desormais³

et al. 2017

Vasa

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Summary: Peripheral artery disease of the lower limbs (PAD) is a common disease. Evaluation of PAD is primarily based on non-invasive examinations with analysis of the arterial Doppler signal being a key element. However, the description of arterial Doppler waveforms morphologies varies considerably across medical schools and from country to country. In order to overcome this issue, the French College of Teachers for Vascular Medicine (Collège des Enseignants de Médecine Vasculaire; CEMV) has summarised the published data on Doppler waveforms analysis and proposes a new "Saint-Bonnet" classifi cation system to describe Doppler waveforms morphologies. The simplifi ed Saint-Bonnet classifi cation comprises eight types and allows taking into account if the Doppler signal does not revert to baseline. This classifi cation, which is based on previous classifi cations, could improve the descriptions of both physiological and pathological waveforms, recorded in lower limb arteries. According to the reviewed literature, recommendations about the use of Doppler waveforms are proposed. This statement is a preamble to reach an international consensus on the subject, which would standardize the description of arterial waveforms and improve the management of PAD patients.

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Section: Methodsmentioning

confidence: 99%

Statement for Doppler waveforms analysis

Mahé

Boulon

Desormais³

et al. 2017

Vasa

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“…Obesity and high total cholesterol are independently related to an increased risk of lower extremity artery disease. [26] The atherosclerotic plaque is a fatty fibrous growth that ultimately becomes calcified and leads to blockage of the artery. [11] Atherosclerosis is a dynamic disease process characterized by vessel wall remodeling that occurs over decades.…”

Section: Samprapti (Pathogenesis) Of Urustambha and Its Similarity Wimentioning

confidence: 99%

Untitled

Mamidi

2017

IJGP

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Urustambha is a grave condition, in which the patient's thighs become painful, numb and immobile. Urustambha is a disease which is not amenable to panchakarma (five evacuative procedures) treatment. Till date, there is no clear understanding of the concept of Urustambha and its clinical application. This article is aimed to understand the concept of Urustambha and its correlation with relevant modern pathology or disease. Urustambha is a lifestyle disease and it is commonly seen in higher socioeconomic status. Urustambha samprapti resembles with atherogenesis. Diva swapna and raatri jaagarana explained in Urustambha nidaana may indicate obstructive sleep apnea (OSA). Clinical presentation of Urustambha may be unilateral or bilateral or both. Charaka's version of Urustambha indicates vascular pathology like "aortoiliac occlusion" with an underlying "metabolic syndrome (MS)," whereas Sushruta's version of Urustambha indicates inflammatory pathology of spinal cord like "acute transverse myelitis" or "inflammatory myelopathy" or "infectious myelitis." Principles of Urustambha are applicable for the prevention and management of the conditions like atherosclerosis, MS, OSA, aortoiliac occlusion, diabetes mellitus, obesity, cardiovascular pathology, acute myelopathy and other ischemic and inflammatory spinal diseases.

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“…The management of arterial disease after radiotherapy resembles that for atherosclerotic lesions, depending on anatomy, comorbidities, symptoms, patient's life expectancy and preference (10,14). In order to improve symptoms, a conservative treatment including exercise therapy and pharmacotherapy can be used (14).…”

Section: Intermittent Claudication After Radiotherapy For Testicular mentioning

confidence: 99%

“…In order to improve symptoms, a conservative treatment including exercise therapy and pharmacotherapy can be used (14). Because of their antiinflammatory and antithrombotic actions on irradiated endothelial cells, statins may have positive effects on symptoms (1,2,14).…”

Section: Intermittent Claudication After Radiotherapy For Testicular mentioning

confidence: 99%

“…Because of their antiinflammatory and antithrombotic actions on irradiated endothelial cells, statins may have positive effects on symptoms (1,2,14). There is no indication for prophylactic revascularization in asymptomatic patients (10,14). For those who need revascularization, there are several suitable techniques, from angioplasty and stenting used for focal damage, to bypass surgery for diffuse injuries (10).…”

Section: Intermittent Claudication After Radiotherapy For Testicular mentioning

confidence: 99%

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Intermittent claudication after radiotherapy for testicular malignancy

Cruceru¹,

Enache²,

Simion³

et al. 2015

JTMR

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The most common cause of intermitent claudication in males is atherosclerosis involving the arteries of the lower limbs. Irradiation represents a major risk factor for development of arterial lesions, its association with conventional cardiovascular risk factors increasing even more the likelihood of vascular damage. We present the case of a 39-year-old patient diagnosed with peripheral arterial disease 8 years after radiotherapy for testicular cancer. Revascularization surgery was performed. It seemed that the arterial involvement had a double etiology, both radiation-induced and atherosclerotic.

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ESC Guidelines on the Diagnosis and Treatment of Peripheral Artery Diseases

Cited by 70 publications

References 0 publications

Statement for Doppler waveforms analysis

Statement for Doppler waveforms analysis

Untitled

Intermittent claudication after radiotherapy for testicular malignancy

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