President's page: Peripheral vascular disease and the cardiovascular specialist

Who should treat patients with peripheral arterial disease - the vascular specialist.

The mortality of patients suffering peripheral arterial disease (PAD) depends on the severity of the disease. Patients suffering critical limb ischemia (CLI) have an annual mortality of 10±15%, whereas it is 4±6% for those `̀ only'' suffering claudication. Compared to the people of similar age, without symptoms of atherosclerosis, the mortality of PAD patients is increased by a factor 2±4, i.e. ...

JAMA patient page. Peripheral arterial disease.

Peripheral vascular disease.

There is little doubt that one of the greatest advances in the field of peripheral arterial disease was our ability to visualize problems wherever they occurred. This was possible because of the development of arteriography. One of the dramatic developments that made this possible was the observation by Forsmann1 in 1929 that a catheter could be threaded through a peripheral vein into the right...

Severe Peripheral Vascular Disease

Background. This study was designed to evaluate the effect of severe peripheral arterial insufficiency on carnitine concentrations and carnitine acetyltransferase and palmitoyltransferase activities in the ischemic skeletal muscles of patients with severe peripheral vascular disease. Methds and Results. Nine biopsy specimens ofischemic muscles were obtained from five patients undergoing reconst...

Peripheral vascular disease.

4 T.NE S ..= v A O = TlS S ~~ ' ~TIME --3. Figure 1 Case 1. Doppler ultrasound examination of axillary arteries. (a) Left axillary artery showing diminished height of systolic wave, broadening of complex and absent negative wave as occurs in arteries beyond a stenosis indicating greater than 75% narrowing. (b) Right axillary artery with steep systolic wave and normal negative complex for compar...