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Evaluation and Percutaneous Management of Atherosclerotic Peripheral Vascular Disease
David M. Widlus, MD;
Floyd A. Osterman, Jr, MD
JAMA. 1989;261(21):3148-3154.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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ATHEROSCLEROTIC peripheral vascular disease (PVD) of the lower extremities deprives a person of the ability to exercise to their satisfaction, later of the ability to perform the activities of their daily life, and finally of their legs themselves. Peripheral vascular disease has long been managed by the vascular surgeon utilizing endarterectomy and peripheral arterial bypass.1-4 These surgical techniques have been shown to be effective in relieving symptoms and to be durable with the passage of time. Postoperative morbidity, rising health care costs, and refinement of percutaneous catheter technology have led to the development and use of nonsurgical modalities for the management of PVD.5 Patient acceptance of nonsurgical, percutaneous procedures such as percutaneous transluminal balloon angioplasty (PTA) is high.6 Increased utilization of these procedures has led to improved techniques and adjuncts to therapy, as well as more critical review of long-term results. This article will review the evaluation
. . . [Full Text PDF of this Article]
Author Affiliations
From the Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, Md.
Footnotes
Reprint requests to Department of Radiology and Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, MD 21205-2191 (Dr Widlus).
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