Transpedal Access for the Management of Complex Peripheral Artery Disease.

CONCLUSION: Based on the results of this systematic review, transpedal access appears to be a safe and effective technique for complex PAD. PMID: 29207364 [PubMed - in process]
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research

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CONCLUSIONS: Collaboration with motivated local authorities can help implement a successful healthcare intervention. Early analysis is necessary to improve the system and engage as many patients as possible. The SET programme discussed has shown similar results to those of previous studies but is available at no personal cost to regional patients with intermittent claudication. PMID: 30421961 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
Objective: To evaluate the effect of using wearable activity monitors (WAMs) in patients with intermittent claudication (IC) within a single-center randomized controlled trial. Background: WAMs allow users to set daily activity targets and monitor their progress. They may offer an alternative treatment to supervised exercise programs (SEPs) for patients with IC. Methods: Thirty-seven patients with IC were recruited and randomized into intervention or control group. The intervention consisted of a feedback-enabled, wrist-worn activity monitor (WAM) in addition to access to SEP. The control group was given access to ...
Source: Annals of Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research
In conclusion, the proposed MRI protocol and the new metrics are feasible for quantifying exercise-induced muscle hyperemia, a promising functional test of PAD. PMID: 30388024 [PubMed - as supplied by publisher]
Source: American Journal of Physiology. Heart and Circulatory Physiology - Category: Physiology Authors: Tags: Am J Physiol Heart Circ Physiol Source Type: research
ConclusionsThe utility decrement related to each diabetic complication varied with its severity and accompanying symptoms. Complex treatment regimens were independently associated with lower utility values. The utility decrement associated with diabetic complication and complex treatment regimens would be overestimated in the analysis without adjustment for glycemic control or other subjective symptoms.
Source: Acta Diabetologica - Category: Endocrinology Source Type: research
The objectives of this double blinded, randomized controlled FLAX-PAD trial were to determine whether daily consumption of a diet supplemented with 30g of milled flaxseed (or placebo) over one year by PAD patients has effects on the prevalence of cardiac arrhythmias and exercise capacity. Cardiac arrhythmias were assessed on a cardiac stress test and at rest. At baseline, the PAD patients had a high incidence of cardiac arrhythmias (48% in the flaxseed group and 32% in the placebo group). After 1 year, the presence of cardiac arrhythmias in the flaxseed group decreased by 2% and increased by 12% in the placebo group (P>...
Source: Canadian Journal of Physiology and Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Can J Physiol Pharmacol Source Type: research
Publication date: Available online 24 September 2018Source: The LancetAuthor(s): William A Gray, Koen Keirse, Yoshimitsu Soga, Andrew Benko, Anvar Babaev, Yoshiaki Yokoi, Henrik Schroeder, Jeffery T Prem, Andrew Holden, Jeffrey Popma, Michael R Jaff, Juan Diaz-Cartelle, Stefan Müller-Hülsbeck, Thomas Albrecht, Kenji Ando, Anvar Babaev, Michael J Bacharach, William Bachinsky, Danielle Bajakian, Robert BeasleySummaryBackgroundThe clinical effect of a drug-eluting stent in the femoropopliteal segment has not been investigated in a randomised trial with a contemporary comparator. The IMPERIAL study sought to compare ...
Source: The Lancet - Category: General Medicine Source Type: research
AbstractThe exercise ankle-brachial index (ABI) helps diagnose lower extremity peripheral artery disease (PAD). Patients with comorbidities may be unable to perform treadmill exercise, the most common stress loading test. While the active pedal plantar flexion (APP) test using the leg loader, simple and easy stress loading device, could be an alternative, there are no data comparing the leg loader and treadmill exercise. Therefore, we aimed to compare APP using the leg loader and treadmill exercise to evaluate PAD. A total of 27 patients (54 limbs) diagnosed with PAD with intermittent claudication and considered for angiog...
Source: Heart and Vessels - Category: Cardiology Source Type: research
CONCLUSIONS: Mental disorders might influence the way in which the symptoms of the disease are reported, coped with, and treated. However, the results of the review preclude recommending a routine psychological examination as one of basic diagnostic procedures in patients with peripheral artery disease suffering from IC. PMID: 30203636 [PubMed - as supplied by publisher]
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research
The early diagnosis of bilateral peripheral vascular disease can be paramount in ensuring the health, wellness and quality of life of our patients. Various physical examination skills such as abdominal aorta palpation and a thorough understanding of patient history risk factors can greatly increase the level of successful detection of peripheral vascular disease. This is imperative to our success as medical providers, as nearly 12% of the United States population has developed arterial disease. Vascular recruitment and collateral formation can mitigate small amounts of arterial occlusion but certain symptoms such as interm...
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Abstracts Presented to the Florida Vascular Society Source Type: research
A 66-year-old man with a history of smoking, hyperlipidemia, and significant carotid artery disease presented to the interventional radiology clinic with labile hypertension and concurrent renal artery stenosis. On further workup, he was noted to have aortoiliac occlusive disease since the 1990s with associated claudication that improved with exercise. During workup of peripheral vascular disease, a computed tomographic angiogram was obtained, which revealed a large hepatic falciform artery collateralizing with the right inferior epigastric artery via a rare collateral vessel (Fig 1).
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Images in IR Source Type: research
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