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Claudication

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https://www.readbyqxmd.com/read/29643064/racial-heterogeneity-in-treatment-effects-in-peripheral-artery-disease-insights-from-the-clever-trial-claudication-exercise-versus-endoluminal-revascularization
#1
Yashashwi Pokharel, Philip G Jones, Garth Graham, Tracie Collins, Judith G Regensteiner, Timothy P Murphy, David Cohen, John A Spertus, Kim Smolderen
No abstract text is available yet for this article.
April 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29627967/supervised-exercise-therapy-versus-home-based-exercise-therapy-versus-walking-advice-for-intermittent-claudication
#2
REVIEW
David Hageman, Hugo Jp Fokkenrood, Lindy Nm Gommans, Marijn Ml van den Houten, Joep Aw Teijink
BACKGROUND: Although supervised exercise therapy (SET) provides significant symptomatic benefit for patients with intermittent claudication (IC), it remains an underutilized tool. Widespread implementation of SET is restricted by lack of facilities and funding. Structured home-based exercise therapy (HBET) with an observation component (e.g., exercise logbooks, pedometers) and just walking advice (WA) are alternatives to SET. This is the second update of a review first published in 2006...
April 6, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29625518/intermittent-claudication-due-to-cystic-adventitial-disease-of-the-popliteal-artery-importance-of-multiple-imaging-modalities
#3
Sul Ki Han, Sang Wook Park, Jun Won Lee, Sung Gyun Ahn, Young Jin Youn, Jin Rok Oh, Il Hwan Park
No abstract text is available yet for this article.
April 2018: Korean Circulation Journal
https://www.readbyqxmd.com/read/29625411/joint-moment-strategies-during-stair-descent-in-patients-with-peripheral-arterial-disease-and-intermittent-claudication
#4
Stephanie L King, Natalie Vanicek, Thomas D O'Brien
OBJECTIVE: To determine the lower limb joint kinetic strategies during stair descent in claudicants with peripheral arterial disease (PAD-IC). DESIGN: Cross-sectional observation study. SETTING: University laboratory. PARTICIPANTS: A total of 22 participants; 10 healthy controls and 12 patients diagnosed with PAD-IC. MAIN OUTCOME MEASURES: Between-group comparisons of ground reaction force (GRF) and, hip, knee and ankle kinetics during steady-state stair descent...
March 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29622821/the-burden-and-characteristics-of-peripheral-arterial-disease-in-patients-undergoing-amputation-in-korle-bu-teaching-hospital-accra-ghana
#5
Antoinette Aa Bediako-Bowan, George O Adjei, Joe N Clegg-Lamptey, Simon B Naaeder
Background: To determine the prevalence of Peripheral Arterial Disease (PAD) and associated risk factors in patients undergoing amputation at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Objectives: A cross- sectional study of all patients undergoing lower extremity amputation at the Department of Surgery, KBTH. Materials: A coded questionnaire was used to ascertain risk factors for PAD. The Edinburgh Claudication Questionnaire was used to determine symptomatic PAD and a 5 mmHz hand held Summit® Doppler together with an Accoson ® sphygmomanometer was used to determine PAD and its severity...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622513/endovascular-versus-open-surgical-intervention-in-patients-with-takayasu-s-arteritis-a-meta-analysis
#6
REVIEW
Jae Hyun Jung, Young Ho Lee, Gwan Gyu Song, Han Saem Jeong, Jae-Hoon Kim, Sung Jae Choi
OBJECTIVE/BACKGROUND: Although medical treatment has advanced, surgical treatment is needed to control symptoms of Takayasu's arteritis (TA), such as angina, stroke, hypertension, or claudication. Endovascular or open surgical intervention is performed; however, there are few comparative studies on these methods. This meta-analysis and systematic review aimed to examine the outcome of surgical treatment of TA. METHODS: A meta-analysis comparing outcomes of endovascular and open surgical intervention was performed using MEDLINE and Embase...
April 2, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29622512/cost-effectiveness-evaluation-of-heparin-coated-versus-standard-graft-for-bypass-surgery-in-peripheral-artery-disease-alongside-a-randomised-controlled-trial
#7
Marie K Villemoes, Jes S Lindholt, Kim C Houlind, Bo Gottschalksen, Christian N Petersen, Martin Rasmussen, Charlotte Wedel, Morten B Bramsen, Rikke Søgaard
OBJECTIVE/BACKGROUND: Heparin coating has recently been shown to reduce the risk of graft failure in arterial revascularisation, at least transiently. The aim of this study was to assess the cost-effectiveness of heparin coated versus standard polytetrafluoroethylene grafts for bypass surgery in peripheral artery disease from a long-term healthcare system perspective. METHODS: Cost-effectiveness evaluation was conducted alongside the Danish part of the Scandinavian Propaten trial in which 431 patients planned for femoro-femoral or femoro-popliteal bypass surgery were randomised to either type of graft and followed for 5 years...
April 2, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29615349/assessment-of-extracellular-matrix-related-biomarkers-in-patients-with-lower-extremity-artery-disease
#8
Anna Hernández-Aguilera, Signe Holm Nielsen, Cristina Bonache, Salvador Fernández-Arroyo, Vicente Martín-Paredero, Montserrat Fibla, Morten A Karsdal, Federica Genovese, Javier A Menendez, Jordi Camps, Jorge Joven
BACKGROUND: The prevalence of lower extremity artery disease (LEAD) is high (20%-25%) in the population older than 65 years, but patients are seldom identified until the disease is advanced. Circulating markers of disease activity might provide patients with a key opportunity for timely treatment. We tested the hypothesis that measuring blood-specific fragments generated during degradation of the extracellular matrix (ECM) could provide further insight into the pathophysiologic mechanism of arterial remodeling...
March 31, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29606570/femoral-artery-transposition-is-a-safe-and-durable-option-for-the-treatment-of-popliteal-artery-aneurysms
#9
Gaël Bounkong, Jean-Michel Davaine, Philippe Tresson, Lucie Derycke, Nicolas Kagan, Thibault Couture, James Lawton, Mahine Kashi, Julien Gaudric, Laurent Chiche, Fabien Koskas
OBJECTIVE: A suitable ipsilateral great saphenous vein (GSV) autograft is widely considered the best material for arterial reconstruction of a popliteal artery aneurysm (PAA). There are, however, cases in which such a GSV is absent, diseased, or of too small diameter for this use. Alternatives to GSV are synthetic conduits, but with a reduced long-term patency, in particular for infragenicular bypass; other venous autografts of marginal use; and stent grafts still in the first stages of their evaluation...
March 29, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29587164/nitric-oxide-donors-for-peripheral-artery-disease
#10
REVIEW
Debbie Falconer, Nikolaos Papageorgiou, Karim Salem, Wei Yao Lim, Athanasios Katsargyris, Efthimios Avgerinos, Dimitris Tousoulis
Current management of peripheral arterial disease involves risk factor modification and revascularisation, but many patients are still left with debilitating symptoms. Therefore, new treatment strategies are needed. The importance of nitric oxide, and its role in regulating endothelial function, is well-established. Altering the nitric oxide pathway has been extensively studied as a means of treating vascular disease, including peripheral arterial disease. Statins and ACE inhibitors have been shown to enhance endogenous nitric oxide and improve intermittent claudication symptoms...
March 24, 2018: Current Opinion in Pharmacology
https://www.readbyqxmd.com/read/29576907/spinal-case-of-the-month-with-short-perspective-how-would-you-treat-this-l3-l4-synovial-cyst
#11
REVIEW
Nancy E Epstein
Background: In this new section, Case of the Month with Short Perspective from Surgical Neurology International, we want to see how various spine surgeons would approach different spinal pathologies. In this first case, an elderly male presented with 3 years of lower back pain and progressive neurogenic claudication with bilateral radiculopathy that had exacerbated over the prior 6 months. An outside physician performed a magnetic resonance (MR) study of the lumbar spine that showed a massive synovial cyst filling the spinal canal (e...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29576335/limited-adherence-to-peripheral-arterial-disease-guidelines-and-suboptimal-ankle-brachial-index-reliability-in-dutch-primary-care
#12
David Hageman, Niels Pesser, Lindy N M Gommans, Edith M Willigendael, Marc R H M van Sambeek, Ellen Huijbers, Aafke Snoeijen, Marc R M Scheltinga, Joep A W Teijink
OBJECTIVE/BACKGROUND: The Dutch College of General Practitioners' guideline on peripheral arterial disease (PAD) provides clear recommendations on the management of PAD. An ankle brachial index (ABI) measurement, prescription of antiplatelet drugs and statins, and supervised exercise therapy (SET) for intermittent claudication (IC) are advised. The aims of this study were to determine the adherence of general practitioners (GPs) to their own guideline on PAD and to evaluate the reliability of primary care ABI measurements...
March 23, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29566427/risk-of-major-amputation-in-patients-with-intermittent-claudication-undergoing-early-revascularization
#13
J Golledge, J V Moxon, S Rowbotham, J Pinchbeck, L Yip, R Velu, F Quigley, J Jenkins, D R Morris
BACKGROUND: Revascularization is being used increasingly for the treatment of intermittent claudication and yet few studies have reported the long-term outcomes of this strategy. The aim of this study was to compare the long-term outcome of patients with intermittent claudication who underwent revascularization compared with a group initially treated without revascularization. METHODS: Patients with symptoms of intermittent claudication and a diagnosis of peripheral arterial disease were recruited from outpatient clinics at three hospitals in Queensland, Australia...
March 22, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29563393/accelerated-atherogenicity-in-tangier-disease
#14
Jun Muratsu, Masahiro Koseki, Daisaku Masuda, Yuji Yasuga, Satoki Tomoyama, Keiji Ataka, Yoshiki Yagi, Atsushi Nakagawa, Hidehumi Hamada, Shigeki Fujita, Hiroaki Hattori, Tohru Ohama, Makoto Nishida, Hisatoyo Hiraoka, Yuji Matsuzawa, Shizuya Yamashita
We report a case of Tangier disease with Leriche syndrome and bleeding tendency. In this male patient, nasal hemorrhage had been observed frequently throughout childhood. At 46 years old, he experienced effort angina, and coronary angiography demonstrated 75% stenosis in the right coronary artery. Orange-colored tonsils, mild hepatosplenomegaly and very low levels of serum high-density lipoprotein cholesterol (HDL-C) were observed, and the patient was diagnosed with Tangier disease. At 52 years old, effort angina recurred...
March 20, 2018: Journal of Atherosclerosis and Thrombosis
https://www.readbyqxmd.com/read/29560004/avoiding-the-trap-of-misdiagnosis-valuable-teaching-points-derived-from-a-case-of-longstanding-popliteal-artery-entrapment-syndrome
#15
Heitham Wady, Zain Badar, Zerwa Farooq, Palma Shaw, Katsuhiro Kobayashi
Popliteal artery entrapment syndrome (PAES), a condition predominantly affecting young individuals, is a rare clinical entity that can result in significant morbidity. The presence of lower limb pain and claudication in young, physically active individuals should prompt consideration for PAES. Early diagnosis and management is crucial to prevent long-term complications; however, diagnosis is fraught with challenges due to the rarity of the disease and its similar clinical presentation with more common conditions...
2018: Case Reports in Medicine
https://www.readbyqxmd.com/read/29557221/endovascular-treatment-of-severely-calcified-femoropopliteal-lesions-using-the-pave-and-crack-technique-technical-description-and-12-month-results
#16
Marina Dias-Neto, Manuela Matschuck, Yvonne Bausback, Ursula Banning-Eichenseher, Sabine Steiner, Daniela Branzan, Holger Staab, Ramon L Varcoe, Dierk Scheinert, Andrej Schmidt
PURPOSE: To report midterm results of the "pave-and-crack" technique to facilitate safe and effective scaffolding of heavily calcified femoropopliteal lesions in preparation for delivery of a Supera interwoven stent. METHODS: Data were collected retrospectively on 67 consecutive patients (mean age 71±8 years; 54 men) treated with this technique between November 2011 and February 2017 at a single center. A third (22/64, 34%) of the patients had critical limb ischemia (CLI)...
March 1, 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29552982/midterm-outcomes-after-endovascular-intervention-for-occluded-vs-stenosed-external-iliac-arteries
#17
Damianos G Kokkinidis, Bejan Alvandi, Prio Hossain, T Raymond Foley, Caitlin E Kielhorn, Gagan D Singh, Stephen W Waldo, John R Laird, Ehrin J Armstrong
PURPOSE: To evaluate the association between a chronic total occlusion (CTO) and long-term outcomes among patients undergoing endovascular intervention to the external iliac artery (EIA). METHODS: A 2-center retrospective study was conducted of 331 patients (mean age 64.7±12.7 years; 221 men) who underwent endovascular intervention for 481 EIA atherosclerotic lesions between 2006 and 2016. A quarter of the lesions (115, 23.9%) were CTOs. The majority of patients (184, 60...
April 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29552268/ligamentum-flavum-cyst-an-uncommon-but-recognizable-and-surgically-correctable-category-of-juxtafacet-cyst
#18
Waseem Mehmood Nizamani
Ligamentum flavum cyst is considered as a category of juxtafacet cyst and is recognized to be rare cause of cord compression and radiculopathy. The pathogenesis of these cysts is not yet fully understood, but it has been proposed that continuous stress to this ligament due to minor repetitive trauma, such as in spondylolisthesis and degenerative disc disease, may lead to the development of cyst. Intraspinal cyst can encroach and displace neural structures that can lead to neurologic symptoms. Although a rare entity, intraspinal cyst should be included in the causative factors of neurogenic claudication or lumbar radiculopathy based on typical magnetic resonance imaging appearance...
February 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29550177/outcomes-of-endovascular-reconstruction-of-the-inferior-vena-cava-with-self-expanding-nitinol-stents
#19
Tim Sebastian, Jörn F Dopheide, Rolf P Engelberger, David Spirk, Nils Kucher
BACKGROUND: Occlusion of the inferior vena cava (IVC) often causes venous claudication, leg swelling, or skin changes. We hypothesized that the outcome of nitinol stents for endovascular reconstruction of the IVC is similar to the outcome reported for steel alloy stents. METHODS: From the prospective Bern Venous Stent Registry, we investigated technical success, patency rates, and clinical outcome in consecutive patients with endovascular IVC reconstruction. During routine follow-up visits, stent patency was assessed by duplex ultrasound...
March 14, 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29548540/the-investigation-and-management-of-iliac-artery-endofibrosis-lessons-learned-from-a-case-series
#20
Lewis K Peake, Fabrizio D'Abate, John Farrah, Maria Morgan, Robert J Hinchliffe
OBJECTIVE/BACKGROUND: The objective was to summarise the lessons learned, and evolution in local practice over the last 7 years, in the investigation and surgical management of iliac artery endofibrosis. METHODS: This was a retrospective case series. A case note review of consecutive patients investigated for suspected iliac artery endofibrosis by a single surgeon, over a 7 year period, was undertaken. Included were cases of first presentation and those who had previously undergone intervention...
March 13, 2018: European Journal of Vascular and Endovascular Surgery
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