Peripheral Arterial Disease: Management Flashcards
what lifestyle measure is peripheral arterial disease linked to?
smoking!!
what medication should be given to someone with concurrent cardiovascular disease?
atorvastatin 80mg
what is the 1st line medicaiton given to someone with peripheral arterial disease?
clopidogrel
what lifestyle measures can help with peripheral arterial disease?
- stop smoking
- exercise training
management of severe peripheral arterial disease or critical limb ischaemia
- endovascular revascularisation
- surgical revascularisation
what are the indications for endovascular revascularisation?
- short segment stenosis (e.g. <10 cm)
- aortic iliac disease
- high-risk patients
what is endovascular revascularisation?
percutaneous transluminal angioplasty +/- stent placement
what is surgical revascularisation?
- surgical bypass with an autologous vein or prosthetic material
- endarterectomy
what are the indications for surgical revascularisation?
- long segment lesions (e.g. >10 cm)
- multifocal lesions
- lesions of the common femoral artery
- purely infrapopliteal disease
what drugs are licenced for use in peripheral arterial disease?
- naftidrofuryl oxalate = vasodilator
- cilostazol = antiplatelet and vasodilatory effects