Surgical Treatment of Vascular Occlusive Disease

  • Amanda Feigel
  • Alan Dardik


Peripheral arterial disease (PAD) describes the spectrum of disease, from asymptomatic to severe, of diminished or absent arterial blood flow to the lower extremities or abdominal viscera. PAD is usually distinguished from extracranial and intracranial carotid disease, as well as coronary disease, although all of these entities are usually and most commonly caused by atherosclerosis. Symptoms of PAD can be present either acutely, caused by plaque rupture releasing distal emboli, or chronically, caused by the progressive intimal thickening leading to decreased luminal diameter and subsequent reduced distal blood flow. As atherosclerotic intimal thickening is ­typically indolent, slowly accumulating plaque reducing blood flow over many years, the elderly population is commonly affected with PAD. This chapter focuses on the impact of PAD in the lower extremity and visceral circulations in elderly patients. Recent advances in minimally invasive technologies, particularly endovascular treatments, have increased options for treatment of PAD in the elderly patient. However, the evidence for the efficacy of these newer technologies is rarely established in the elderly population.


Compute Tomography Angiography Peripheral Arterial Disease Occlusive Disease Limb Salvage Superficial Femoral Artery 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SurgeryYale University School of MedicineNew HavenUSA

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