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https://www.readbyqxmd.com/read/29777848/effects-on-mortality-and-cardiovascular-events-of-adherence-to-guideline-recommended-therapy-4-years-after-lower-extremity-arterial-revascularization
#1
M Thiney, N Della Schiava, R Ecochard, P Feugier, P Lermusiaux, A Millon, A Long
OBJECTIVES: All patients with lower extremity peripheral arterial disease (LE-PAD) should benefit from recommended pharmacologic therapies including antiplatelet agents, angiotensin converting enzyme inhibitors (ACE) or Angiotensin receptor blockers (ARB), and HMG-CoA-reductase inhibitors (statins). In the present study, this triple therapy was defined as the best medical treatment. This study was designed to determine the current risk for cardiovascular (CV) events and mortality and also to evaluate the effect of pharmacologic treatment on patient's survival, CV events and additional vascular surgery in vascularized LE-PAD patients...
May 16, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29751811/peripheral-vascular-disease-assessment-in-the-lower-limb-a-review-of-current-and-emerging-non-invasive-diagnostic-methods
#2
REVIEW
Elham Shabani Varaki, Gaetano D Gargiulo, Stefania Penkala, Paul P Breen
BACKGROUND: Worldwide, at least 200 million people are affected by peripheral vascular diseases (PVDs), including peripheral arterial disease (PAD), chronic venous insufficiency (CVI) and deep vein thrombosis (DVT). The high prevalence and serious consequences of PVDs have led to the development of several diagnostic tools and clinical guidelines to assist timely diagnosis and patient management. Given the increasing number of diagnostic methods available, a comprehensive review of available technologies is timely in order to understand their limitations and direct future development effort...
May 11, 2018: Biomedical Engineering Online
https://www.readbyqxmd.com/read/29743899/drug-coated-balloon-in-superficial-femoral-artery-in-stent-restenosis
#3
REVIEW
Donato Gerardi, Arturo Alfani, Tullio Tesorio, Angelo Cioppa, Giovanni Esposito, Eugenio Stabile
The femoropopliteal artery is one of the commonest sites of involvement in peripheral artery disease (PAD) leading to intermittent claudication and/or critical limb ischemia. Endovascular therapy for superficial femoral artery (SFA) disease has been recognized as a safe and efficient therapy and is recommended by current guidelines as the first-line approach. Although the widespread use of new-generation, self-expanding, nitinol stents in SFA stenosis has reduced the shortcomings associated with plain old balloon angioplasty (POBA), lumen renarrowing at the stented (in-stent restenosis - ISR) level still represents a relevant clinical problem, because of higher risk of recurrent ISR, occlusion and surgical revascularization compared to de-novo lesions...
2018: Postępy W Kardiologii Interwencyjnej, Advances in Interventional Cardiology
https://www.readbyqxmd.com/read/29727608/medical-management-of-functional-impairment-in-peripheral-artery-disease-a-review
#4
REVIEW
Mary M McDermott
Lower extremity peripheral artery disease (PAD) now affects 200 million people worldwide and is a major cause of disability. Cilostazol is the only Federal Drug Administration approved medication for PAD-related ischemic symptoms that is recommended by clinical practice guidelines. Supervised treadmill exercise significantly improves treadmill walking performance in PAD. Recent evidence shows that home-based exercise interventions that include occasional medical center visits and incorporate behavioral change techniques also significantly improve walking endurance in PAD...
March 28, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/29726092/intra-operative-cell-salvage-in-urological-surgery-a-systematic-review-and-meta-analysis-of-comparative-studies
#5
REVIEW
Ned Kinnear, Michael O'Callaghan, Derek Hennessey, Heath Liddell, Bradley Newell, John Bolt, A/Prof Nathan Lawrentschuk
OBJECTIVE: To systematically evaluate the safety and efficacy of intra-operative cell salvage (ICS) in urology. METHODS: A search of Medline, Embase and Cochrane Library to August 2017 was performed using methods pre-published on PROSPERO. Reporting followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. Eligible titles were comparative studies published in English utilising ICS in urology. Primary outcomes were allogeneic transfusion rates (ATR) and tumour recurrence...
May 3, 2018: BJU International
https://www.readbyqxmd.com/read/29724414/acr-appropriateness-criteria-%C3%A2-lower-extremity-arterial-revascularization-post-therapy-imaging
#6
Kyle Cooper, Bill S Majdalany, Sanjeeva P Kalva, Ankur Chandra, Jeremy D Collins, Christopher J Francois, Suvranu Ganguli, Heather L Gornik, A Tuba Kendi, Minhajuddin S Khaja, Jeet Minocha, Patrick T Norton, Piotr Obara, Stephen P Reis, Patrick D Sutphin, Frank J Rybicki
Peripheral arterial disease (PAD) affects millions across the world and in the United States between 9% to 23% of all patients older than 55 years. The refinement of surgical techniques and evolution of endovascular approaches have improved the success rates of revascularization in patients afflicted by lower extremity PAD. However, restenosis or occlusion of previously treated vessels remains a pervasive issue in the postoperative setting. A variety of different imaging options are available to evaluate patients and are reviewed within the context of asymptomatic and symptomatic patients with PAD who have previously undergone endovascular or surgical revascularization...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29710165/effect-of-a-home-based-exercise-intervention-of-wearable-technology-and-telephone-coaching-on-walking-performance-in-peripheral-artery-disease-the-honor-randomized-clinical-trial
#7
RANDOMIZED CONTROLLED TRIAL
Mary M McDermott, Bonnie Spring, Jeffrey S Berger, Diane Treat-Jacobson, Michael S Conte, Mark A Creager, Michael H Criqui, Luigi Ferrucci, Heather L Gornik, Jack M Guralnik, Elizabeth A Hahn, Peter Henke, Melina R Kibbe, Debra Kohlman-Trighoff, Lingyu Li, Donald Lloyd-Jones, Walter McCarthy, Tamar S Polonsky, Christopher Skelly, Lu Tian, Lihui Zhao, Dongxue Zhang, W Jack Rejeski
Importance: Clinical practice guidelines support home-based exercise for patients with peripheral artery disease (PAD), but no randomized trials have tested whether an exercise intervention without periodic medical center visits improves walking performance. Objective: To determine whether a home-based exercise intervention consisting of a wearable activity monitor and telephone coaching improves walking ability over 9 months in patients with PAD. Design, Setting, and Participants: Randomized clinical trial conducted at 3 US medical centers...
April 24, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29685062/prospective-observational-evaluation-of-sedation-and-pain-management-guideline-adherence-across-new-jersey-intensive-care-units
#8
Alison Brophy, Maria Cardinale, Liza B Andrews, Justin B Kaplan, Christopher Adams, Yekaterina Opsha, Kimberly A Brandt, Deepali Dixit, Steven F Nerenberg, Julie A Saleh
BACKGROUND: The practice guidelines for the management of pain, agitation, and delirium (PAD) from the Society of Critical Care Medicine shifted from primarily focusing on the treatment of anxiety in 2002 to the treatment of pain in 2013. OBJECTIVE: This prospective, observational, multicenter study aimed to assess the degree of practice adherence to the PAD guidelines for ventilated patients in New Jersey intensive care units (ICUs). METHODS: Pharmacist investigators at 8 centers designated 4 days at least 10 days apart to evaluate all patients on mechanical ventilation...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29682108/hybrid-operations-in-patients-with-peripheral-arterial-disease
#9
REVIEW
Atsubumi Murakami
In this seminar, I would like to discuss the recent hybrid operations in patients with peripheral arterial diseases. Hybrid is generally defined as combinations of different types of things. In the surgical community, it is loosely defined as therapy combining open surgery (OS) and endovascular therapy (EVT). In practice, combination surgery of diseased inflow vessels by EVT and outflow vessels by OS is a typical example, namely, the combination therapy of thromboendarterectomy (TEA) for common femoral artery and EVT (PTA and stenting) for iliac artery in patients with PAD (ilio-femoral lesions)...
March 25, 2018: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29621740/glucose-lowering-treatment-in-cardiovascular-and-peripheral-artery-disease
#10
REVIEW
Rosa Suades, Francesco Cosentino, Lina Badimon
Diabetes-induced hyperglycemia is a causal factor for cardiovascular disease (CVD) and, specifically, peripheral artery disease (PAD). Metformin is the cornerstone drug therapy for glucose-lowering that exerts beneficial effects beyond glycemic control. New glucose-lowering drugs have recently been shown cardiovascular benefits and their impact on CVD risk is of increasing importance. Current guidelines recommend these novel therapies as second-line options for patients with diabetes and established CVD. Given the prevalence of CVD in this population, a complete understanding of the cardiovascular safety/efficacy of glucose-lowering drugs is needed...
April 2, 2018: Current Opinion in Pharmacology
https://www.readbyqxmd.com/read/29600737/statin-prescription-rates-and-their-facility-level-variation-in-patients-with-peripheral-artery-disease-and-ischemic-cerebrovascular-disease-insights-from-the-department-of-veterans-affairs
#11
Cameron L McBride, Julia M Akeroyd, David J Ramsey, Vijay Nambi, Khurram Nasir, Erin D Michos, Ruth L Bush, Hani Jneid, Pamela B Morris, Vera A Bittner, Christie M Ballantyne, Laura A Petersen, Salim S Virani
The 2013 American College of Cardiology/American Heart Association cholesterol guideline recommends moderate to high-intensity statin therapy in patients with peripheral artery disease (PAD) and ischemic cerebrovascular disease (ICVD). We examined frequency and facility-level variation in any statin prescription and in guideline-concordant statin prescriptions in patients with PAD and ICVD receiving primary care in 130 facilities across the Veterans Affairs (VA) health care system between October 2013 and September 2014...
March 1, 2018: Vascular Medicine
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/29574071/poor-attainment-of-lipid-targets-in-patients-with-symptomatic-peripheral-artery-disease
#13
Jörn F Dopheide, Lucija Papac, Marc Schindewolf, Iris Baumgartner, Heinz Drexel
BACKGROUND: Patients with peripheral artery disease (PAD) are at very high risk of future cardiovascular (CV) events. Strict lipid-lowering therapy is recommended. However, data on target level attainment are scarce. OBJECTIVE: The objective of the study was to investigate guideline equitable lipid lowering in a large observational study of symptomatic PAD patients. METHODS: Single-center observational study including 1109 patients with symptomatic PAD planned for revascularization at a tertiary university center...
March 1, 2018: Journal of Clinical Lipidology
https://www.readbyqxmd.com/read/29527319/inferior-heel-pain-in-soccer-players-a-retrospective-study-with-a-proposal-for-guidelines-of-treatment
#14
Raoul Saggini, Maurizio Migliorini, Simona Maria Carmignano, Emilio Ancona, Chiara Russo, Rosa Grazia Bellomo
Background: The cause of heel pain among soccer players is multifactorial and is related to repetitive microtrauma due to impact forces involving technical moves, but also the playground, the exercise mode, the recovery time, the climatic conditions and the footwear used. Aim: To investigate the aetiology of plantar heel pain of soccer players with the objective of proposing an example of guidelines for treatment. Methods: We investigated the prevalence and characteristics of inferior heel pain of 1473 professional, semiprofessional and amateur players...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29513271/feasibility-of-using-thermal-response-to-k-a-band-millimeter-wave-heating-to-assess-skin-blood-flow
#15
David A Nelson, Silas J Leavesley, Carmen D Zirlott, Xi-Ming Yang, James M Downey
OBJECTIVE: Implementation of clinical guidelines for diagnosing peripheral artery disease will demand screening many millions of patients who are considered at-risk. This will require faster, easier screening technologies to identify patients with compromised blood flow to the extremities. APPROACH: The feasibility of using surface temperature response to Ka band (26.5-40 GHz) near-field irradiation to assess skin blood flow was explored using an animal model. Ears of domestic rabbits were subjected to low-power continuous wave radio frequency heating from an open-ended waveguide (WR-28) at f  =  35 GHz...
April 20, 2018: Physiological Measurement
https://www.readbyqxmd.com/read/29506062/the-2017-esc-guidelines-on-pads-what-s-new
#16
Victor Aboyans, Jean-Baptiste Ricco
No abstract text is available yet for this article.
March 1, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29502999/outcomes-and-management-costs-of-peripheral-artery-disease-in-france
#17
Alessandra Bura Riviere, Stéphane Bouée, Caroline Laurendeau, Elodie Torreton, Julie Gourmelen, Florence Thomas-Delecourt
BACKGROUND: Little is known about the characteristics and prognosis of patients with peripheral arterial disease (PAD) and related real-life health costs in France. METHODS: A cohort of patients diagnosed with PAD between 2007 and 2011 was extracted from the French Echantillon Généraliste des Bénéficiaires (EGB) claims database. The patients were followed up from the date of PAD diagnosis. Their characteristics, incidence of death and other events, treatments, and costs were analyzed by comparison with age- and gender-matched PAD-free controls...
March 1, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29489983/pelvic-floor-muscle-training-for-overactive-bladder-symptoms-a-prospective-study
#18
Fátima Fitz, Marair Sartori, Manoel João Girão, Rodrigo Castro
INTRODUCTION: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. OBJECTIVE: To verify the effects of isolated PFMT on the symptoms of OAB. METHOD: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss ≥ 2 g in the pad test...
December 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/29459603/study-of-angiographic-relationship-between-peripheral-arterial-diseases-with-the-involvement-of-specific-coronary-artery-lesion
#19
S A Habib, M N Islam, M F Rahman, M Ullah, K Pasha, S N Alam, K Mohsin, N Fatema, M R Khan, S S Shakil, M N Hasan
The purpose of this study was to investigate magnitude, pattern and involvement of previously unheralded coronary artery disease in patients suffering from clinically significant peripheral artery disease of lower limbs. This cross sectional study was carried out in National Institute of Cardiovascular Diseases, Dhaka, Bangladesh from January 2014 to February 2015. Total 58 patients with clinically diagnosed peripheral arterial disease of lower limb undergoing angiographic evaluation. Selective CAG in addition to peripheral arteriography was performed in all the study population as per ACC/AHA guidelines for CAG (class IIa recommendation)...
January 2018: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29452626/translation-of-an-evidence-based-therapeutic-exercise-program-for-patients-with-peripheral-artery-disease
#20
Dereck L Salisbury, Mary O Whipple, Marsha Burt, Rebecca J L Brown, Alan Hirsch, Christopher Foley, Diane Treat-Jacobson
The purpose of this study was to implement and evaluate quality outcomes including referral, enrollment, and completion rates of a new peripheral artery disease (PAD)-specific supervised exercise therapy (SET) program within a preexisting clinical exercise wellness program and to evaluate the clinical effectiveness and patient-centered outcomes derived from 12 weeks of PAD-specific SET. Recruited participants completed an individualized, minimally supervised, PAD-specific SET program based on the AHA-ACC guidelines...
March 2018: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
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