Abstract
Evaluation of the vascular patient requires a systematic approach that begins with the history and physical examination, generally followed by noninvasive studies to obtain a more quantitative estimation of the degree of vascular compromise. The decision to perform more invasive studies or to proceed to endovascular or open therapy must be individualized but is dependent in large part on the findings of the history, physical examination, and noninvasive studies [1].
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References
Rutherford R: Evaluation and selection of patients for vascular surgery. In Rutherford R, editor: Vascular surgery, Philadelphia, 2005, Saunders.
Norgren L, Hiatt W, Dormandy J et al.: Inter-society consensus for the management of peripheral arterial disease (TASC II), J Vasc Surg 45(suppl S):S5–S67, 2007.
Sumner D: Objective diagnostic techniques: the role of the vascular laboratory. In Rutherford R, editor: Vascular surgery, Philadelphia, 1989, Saunders.
Kinney EV, Bandyk DF, Towne JB: The vascular laboratory in clinical care: part I, Surg Rounds, 765–777, 1991.
Osmundson PJ, Rooke TW, Hallett JW: Effect of arterial revascularization on transcutaneous oxygen tension of the ischemic extremity, Mayo Clin Proc 63:897–902, 1988.
White RA, Nolan L, Harley D et al.: Noninvasive evaluation of peripheral vascular disease using transcutaneous oxygen tension, Am J Surg 144:68, 1982.
Cina C, Kastamouris A, Megerman J et al.: Utility of transcutaneous oxygen tension measurements in peripheral arterial occlusive disease, J Vasc Surg 1:362–369, 1984.
Zierler RE: Physiologic basis of hemodynamic measurement. In White R, Hollier L, editors: Vascular surgery: basic science and clinical correlations, Philadelphia, 1994, Lippincott.
Flanigan DP, Ballard JL, Robinson D et al.: Duplex ultrasound of the superficial femoral artery is a better screening tool than ankle-brachial index to identify at risk patients with lower extremity atherosclerosis, J Vasc Surg 47:789–792, 2008.
Dougherty MJ, Hallett JW Jr, Naessens JM et al.: Optimizing technical success of renal revascularization: the impact of intraoperative color-flow duplex ultrasonography, J Vasc Surg 17:849–857, 1993.
Adam AJ, Beard JD, Cleveland T, Bell J, Bradbury AW, Forbes JF et al.: BASIL trial participants: bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial, Lancet 366:1925–1934, 2005.
Walsh DB, Cronenwett JL: Natural history of atherosclerosis in the lower extremity, carotid, and coronary circulations. In White RA, Hollier LH, editors: Vascular surgery: basic science and clinical correlations, Philadelphia, 1994, Lippincott.
Jelnes R, Gaardsting O, Jensen KH et al.: Fate in intermittent claudication: outcome and risk factors, BMJ 293:1137, 1986.
O’Riordan DS, O’Donnell JA: Realistic expectations for the patient with intermittent claudication, Br J Surg 78:861, 1991.
Beard JD: Which is the best revascularization for critical limb ischemia: endovascular or open surgery? J Vasc Surg 48(6 suppl):11S–16S, 2008.
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de Virgilio, C., Chan, T. (2010). Assessment of Vascular Patients and Indications for Therapy. In: Fogarty, T., White, R. (eds) Peripheral Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1387-6_4
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DOI: https://doi.org/10.1007/978-1-4419-1387-6_4
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