RT Book, Section
A1 Thors, Axel
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105289556
T1 FEMORAL POPLITEAL DISEASE: PTA AND STENTING
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesssurgery.mhmedical.com/content.aspx?aid=1105289556
RD 2024/04/25
AB A  70-year-old  man  was  referred  to  vascular  surgery  for  a  several-year  history  of  bilateral  lower  extremity  calf  claudication  at  one  block.  His  claudication  symptoms  were  described  as  significantly  lifestyle  limiting  with  the  right  leg  worse  than  the  left.  The  patient  had  previous  bilateral  iliac  artery  stenting  2  years  prior  to  presentation  (Figure  4-1).  His  peripheral  vascular  risk  factors  include  hypertension  (HTN),  hyperlipidemia,  and  tobacco  abuse  (30  pack-years).  The  patient  denied  symptoms  of  rest  pain  and  did  not  have  any  evidence  of  tissue  loss.  His  pedal  pulses  were  palpable  bilaterally.  After  discussing  options,  the  patient  agreed  to  a  3-month  trial  of  a  supervised  exercise  program  with  an  oral  phosphodiesterase  inhibitor  (cilostazol)  and  tobacco  cessation.