American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

Peripheral arterial disease

Prevention and Screening

Diagnosis

Therapy

Hospitalization

Patient education and follow-up

Home

Management consultation

If PAD is complex and severe, allow vascular specialists—whether interventional cardiologists, interventional radiologists or vascular surgeons—to direct care, especially for management of young patients or patients who need an endovascular or surgical intervention.

Refer complex patients to high-volume hospitals, and high volume interventionalists which are associated with better outcomes than low volume hospitals for peripheral arterial surgeries.

Doctors with X-ray

Delayed vascular consultation has been associated with worsened living status and lower limb salvage rates.

Consult a vascular surgeon for patients with:

  • severe PAD (ABI <0.25)
  • moderate to severe PAD with lifestyle-limiting claudication in whom medical therapy has failed
  • moderate to severe PAD plus diabetes with nonhealing ulceration and nonpalpable pulses
  • acute limb ischemia

Vascular medicine specialists can help manage patients with comorbid hypertension and dyslipidemia to aggressively reduce risk factors.

Consult a plastic surgeon for assistance with complex wounds and for reconstructive tissue flaps.

Ask physiatrists for aid with postamputation care.

Top

This is a printer-friendly version of this page

Print this page  |  Close the preview

Advertisement

Share

 
 

Internist Archives Quick Links

Internal Medicine Meeting 2015 Digital Presentations

Internal Medicine Meeting 2015 Digital Presentations

Choose from over 170 recorded Scientific Program Sessions and Pre-Courses. Available in a variety of packages and formats so you can choose the combination that works best for you.

See all available packages or preview sessions.

Medical Student Text

IM Essentials Now Available in Print or Online

IM Essentials Now Available in Print or Online

Check out sample pages from IM Essentials Text and IM Essentials Questions.