The fate of patients with intermittent claudication managed nonoperatively

McAllister, Ferdinand F.

doi:10.1016/0002-9610(76)90351-2

Cited by 96 publications

(25 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Claudication and CLI represent a continuum of the same atherosclerotic process. The expected rate of progression from claudication to amputation is reported as 1% per year, although more than 20% of claudicants will develop incapacitating LLC, seriously restricting the quality of life and independence of older patients (1,2,18,19). Surgical options for patients with severe LLC are limited, especially if venous conduit must be conserved for future coronary artery bypass.…”

Section: Discussionmentioning

confidence: 99%

Primary stent-supported angioplasty for treatment of below-knee critical limb ischemia and severe claudication

Feiring

Wesolowski

Lade

2004

Journal of the American College of Cardiology

129

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Primary stent-supported angioplasty for treatment of below-knee critical limb ischemia and severe claudication

Feiring

Wesolowski

Lade

2004

Journal of the American College of Cardiology

129

View full text Add to dashboard Cite

show abstract

“…17,39 Soon after its onset, PAD stabilizes clinically in 65-75% of patients, with only 25-35% deteriorating significantly. 17,40 -42 The amputation rate in hospital patients with PAD is 7% in 6 years; 41,43 however, in large population studies 17,44,45 among patients with claudication the rate is lower (2%). Although the impact of atherosclerosis on the life span of claudicants is high (5-30% 5-year cumulative mortality rate in males), 17,46 only 3-22% of those who seek medical advice for their PAD will ever require revascularization.…”

Section: Delis and Nicolaidesmentioning

confidence: 99%

Effect of Intermittent Pneumatic Compression of Foot and Calf on Walking Distance, Hemodynamics, and Quality of Life in Patients With Arterial Claudication

Delis¹,

Nicolaides²

2005

Annals of Surgery

View full text Add to dashboard Cite

IPCfoot+calf emerged as an effective, high-compliance, complication-free method for improving the walking ability and pressure indices in stable claudication, with a durable outcome. These changes were associated with a significant improvement in all aspects of QOL evaluated with the SF-36. Despite some limited benefit noted in some individuals, unsupervised exercise had a nonsignificant impact overall.

show abstract

“…PAD is associated with symptomatic claudication in approximately 20-40% of persons with PAD and thereby causes a deterioration of quality of life. [1][2][3][4][5][6] PAD is also a potent predictor of cardiovascular ischemic events (e.g. angina, myocardial infarction, and stroke) and death.…”

Section: Introductionmentioning

confidence: 99%

The Minnesota Regional Peripheral Arterial Disease Screening Program: toward a definition of community standards of care

et al. 2001

View full text Add to dashboard Cite

Abstract:The Minnesota Regional Peripheral Arterial Disease Screening Program was designed to define the efficacy of community PAD detection efforts, to assess the disease-specific and health-related morbidity, to assess PAD awareness rates, and to determine the magnitude of atherosclerosis disease risk factors and the intensity of their management. The target population was recruited via mass media efforts directed at individuals over 50 years of age and those with leg pain with ambulation. Screening sessions included assessments of the anklebrachial index, blood pressure, fasting lipid profile, and use of validated tools to detect symptomatic claudication (by the Modified WHO-Edinburgh Claudication Questionnaire), walking impairment (Walking Impairment Questionnaire -WIQ), quality of life (MOS SF-36), PAD awareness, and the intensity of PAD medical therapeutic interventions. PAD was defined as any anklebrachial index Յ0.85 or a history of lower extremity revascularization. The program evaluated 347 individuals and identified 92 subjects with PAD and 255 subjects without PAD, yielding a detection rate of 26.5%. Individuals with PAD were older, tended to have higher blood pressures, and had a significant walking impairment and an impaired health-related quality of life compared with the non-PAD subjects. Current rates of tobacco use were low. Lipid-lowering, estrogen replacement, anti-platelet, and antihypertensive medications and exercise therapies were underutilized in the PAD cohort. Peripheral arterial disease awareness was low in these community-identified patients. This Program demonstrated that individuals with PAD can be efficiently identified within the community, but that current standards of medical care are low. These data can assist in the future development of PAD awareness, education, and treatment programs.

show abstract

The fate of patients with intermittent claudication managed nonoperatively

Cited by 96 publications

References 4 publications

Primary stent-supported angioplasty for treatment of below-knee critical limb ischemia and severe claudication

Primary stent-supported angioplasty for treatment of below-knee critical limb ischemia and severe claudication

Effect of Intermittent Pneumatic Compression of Foot and Calf on Walking Distance, Hemodynamics, and Quality of Life in Patients With Arterial Claudication

The Minnesota Regional Peripheral Arterial Disease Screening Program: toward a definition of community standards of care

Contact Info

Product

Resources

About