Peripheral Artery Disease (eBook, PDF)

Redaktion: Mohler, Emile R.; Jaff, Michael R.

• Format: PDF

Produktbeschreibung

A comprehensive, quick-reference guide to the diagnosis and management of peripheral artery disease for non-specialists With an aging population subject to an increasing number of health risks, peripheral artery disease (PAD) is on the rise throughout the world. Because of PAD's direct links to heart attack and stroke, it is critical that internists, surgeons, cardiologists, radiologists, gerontologists, GPs, and family practitioners know how to recognize it and make the best treatment recommendations for their patients. This book provides all the expert, practical information and guidance they need to do just that. Edited by two thought leaders in PAD diagnosis and treatment, and comprising chapters written by subject matter experts, Peripheral Artery Disease, Second Edition provides clinicians with guidance on how to diagnose and treat one of the most under-diagnosed conditions affecting millions of patients. This updated and revised edition of the popular guide distills the complexities of PAD into clear, actionable advice for busy medical practitioners, providing them with the information they need--when they need it. * Provides clinicians with essential information for recognizing and treating this under-diagnosed condition that affects millions of patients * Distills the complexities of PAD, from diagnosis to traditional and emerging treatment options, into clear, actionable advice for clinicians * Covers PAD epidemiology, office examination, imaging, laboratory evaluation, medical therapy, surgical interventions, endovascular treatments, and much more * Reflects the latest PAD Guidelines and Performance Measures established by leading specialty societies * Features contributions from internists and surgeons, all recognized experts in PAD Peripheral Artery Disease, Second Edition is an important working reference for internists, cardiologists, radiologists, and surgeons, as well as fellows and residents in those fields.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 208
• Erscheinungstermin: 13. Juli 2017
• Englisch
• ISBN-13: 9781118776070
• Artikelnr.: 52555869

Autorenporträt

Emile R. Mohler, MD, MSVM, FACC, FAHA is Director of Vascular Medicine for the University of Pennsylvania Health System, and Professor of Medicine for the Perelman School of Medicine at the University of Pennsylvania, Philadelphia Pennsylvania, USA Michael R. Jaff, DO, FACP, FACC, FAHA, MSVM is Professor of Medicine, Harvard Medical School and President of Newton-Wellesley Hospital in Newton, Massachusetts, USA.

Inhaltsangabe

Contributors xi

Preface xiii

1 Epidemiology of Peripheral Artery Disease 1
Wobo Bekwelem and Alan T. Hirsch

Definitions 1

PAD

Clinical Syndromes 2

Prevalence and Incidence 3

Asymptomatic PAD 8

Claudication 10

Atypical Leg Pain 12

Critical Limb Ischemia 12

Acute Limb Ischemia 13

Risk Factors for Development of PAD 13

Tobacco Use 14

Diabetes Mellitus 15

Dyslipidemia 15

Hypertension 16

Homocysteinemia 16

C?]Reactive Protein and Fibrinogen 17

Obesity 17

Other Risk Factors 18

Awareness of PAD in the Community 20

Progression, Natural History, and Outcomes of PAD 20

Progression 20

Natural History and Outcomes 22

Summary 24

References 26

2 Office Evaluation of Peripheral Artery Disease - History and Physical Examination Strategies 37
Maen Nusair and Robert S. Dieter

Introduction 37

Identifying At-Risk Individuals 37

Regional Symptom Analysis 38

Neurologic Symptoms 38

Thoracic Symptoms 40

Abdominal Pain 41

Extremity Pain 42

Skin Manifestations 44

Physical Examination 46

General Appearance 46

Head and Neck Examination 46

Chest 48

Abdominal Examination 48

Lower Extremity Examination 49

Palpating for Pulses 50

Auscultation 52

References 53

3 Vascular Laboratory Evaluation of Peripheral Artery Disease 57
Thomas Rooke

Introduction 57

Anatomic 57

Hemodynamic 57

Functional 58

Physiological Testing 58

Background/History 58

Physiological Invasive Testing 58

Physiological Non?]Invasive Testing 58

Vascular Laboratory 59

Doppler 59

Motion Detection 59

Waveform Analysis 60

Plethysmography 60

PVR Amplitude 61

PVR Contour 62

Ankle-Brachial Index (ABI) and Segmental Pressures 63

Tissue Perfusion 65

Transcutaneous Oximetry (TcPO2) 66

Duplex Scanning 67

Background/History 67

Imaging (Anatomy) 67

Doppler (Hemodynamic) 68

Vascular Laboratory Accreditation 69

References 69

4 Magnetic Resonance, Computed Tomographic, and Angiographic Imaging of Peripheral Artery Disease 73
Thomas Le, Masahiro Horikawa and John A. Kaufman

Introduction 73

Computed Tomography Angiography 73

Basics 73

Image Acquisition and Interpretation 74

Protocol 74

Advantages 76

Pitfalls 76

Calcification 76

Artifacts 76

Radiation Exposure 76

Contrast?]Induced Nephropathy 76

Anaphylaxis 77

Magnetic Resonance Angiography 77

Basics 77

Image Acquisition and Interpretation 77

Protocol 77

Non?]Contrast?]Enhanced MRA 77

Contrast?]Enhanced MRA (CE?]MRA) 78

Post?]Processing and Interpretation 78

Advantages 78

Pitfalls 80

Time 80

Nephrogenic Systemic Fibrosis 80

Bolus Timing 80

Artifacts 80

Other Pitfalls 80

Conventional Angiography 81

Basics 81

Image Acquisition and Interpretation 81

Pre?]Procedure Patient Care 81

Protocol 81

Advantages 82

Pitfalls 82

Contrast?]