1.1.1.1 ABI< 0.9
1.1.1.2.1 Diabetes
1.1.1.2.2 Hypercholesterolemia
1.1.1.2.3 Smoker
1.1.1.3.1 Asymmetric Blood Pressure in Extremities
1.1.1.3.2 Asymmetric Pulses
1.1.1.3.3 Bruit
1.1.1.3.4 Claudication
1.1.1.3.5 Palpable Arterial Thrill
1.1.1.3.6 Positive or Suspicious Doppler exam
Hurst’s The Heart 11th Edition Valentin Fuster, R. Wayne Alexander, and Robert A. O’Rourke, Eds.; Copyright ©2006 The McGraw-Hill Companies. Chapterr 101. Diagnosis and Management of Diseases of the Peripheral Arteries and Veins Paul W. Wennberg, Thom W. Rooke Emile R. Mohler, III; Peripheral Arterial Disease: Identification and Implications; Arch Intern Med 2003 163: 2306-2314
1.2.1 Suspected AVM
1.3.1 cramping pains caused by poor circulation of the blood to the muscles during exercise. True claudication is relieved with rest from exercise.
1.4.1 Peripheral arterial disease suspected
1.5.1.1.1 intermittent claudication involving the low back, buttocks, hip or thigh,
1.5.1.1.2 impotency (which occurs in 30 to 50 percent of males with aortoiliac occlusive disease), and
1.5.1.1.3 “global atrophy” of the lower extremities, reflecting the chronicity of low-grade ischemia
1.5.1.2 Leriche R, Morel A. The syndrome of thrombotic obliteration of the aortic bifurcation. Ann Surg. 1948;127:193-204.
1.6.1 Suspected AVM
1.7.1 Suspected AVM
1.8.1 Suspected AVM
1.9.1 Suspected AVM
Hurst’s The Heart 11th Edition Valentin Fuster, R. Wayne Alexander, and Robert A. O’Rourke, Eds.; Copyright ©2006 The McGraw-Hill Companies. Chapterr 101. Diagnosis and Management of Diseases of the Peripheral Arteries and Veins Paul W. Wennberg, Thom W. Rooke
Emile R. Mohler, III; Peripheral Arterial Disease: Identification and Implications; Arch Intern Med 2003 163: 2306-2314
White, Robert I., Jr, Pollak, Jeffrey, Persing, John, Henderson, Katharine J., Thomson, J. Grant, Burdge, Catherine M. Long-Term Outcome of Embolotherapy and Surgery for High-Flow Extremity Arteriovenous Malformations J Vasc Interv Radiol 2000 11: 1285-129 Schwartz’s Principles of Surgery, 8th Edition F. Charles Brunicardi, et al Copyright © 2005, The McGraw-Hill Companies, Inc.Chapter 15. Skin and Subcutaneous Tissue Scott L. Hansen, Stephen J. Mathes, David M. Young Albrecht, Thomas, Foert, Ellen, Holtkamp, Robin, Kirchin, Miles A., Ribbe, Constanze, Wacker, Frank K., Kruschewski, Martin, Meyer, Bernhard C. 16-MDCT Angiography of Aortoiliac and Lower Extremity Arteries: Comparison with Digital Subtraction Angiography Am. J. Roentgenol. 2007 189: 702-711
2.1.1 Bleeding
2.1.2 Localized skin discoloration
2.1.3 Pain
2.1.4 Palpable subcutaneous thrill
2.1.5 Ulceration
White, Robert I., Jr, Pollak, Jeffrey, Persing, John, Henderson, Katharine J., Thomson, J. Grant, Burdge, Catherine M. Long-Term Outcome of Embolotherapy and Surgery for High-Flow Extremity Arteriovenous Malformations J Vasc Interv Radiol 2000 11: 1285-1295 Schwartz’s Principles of Surgery, 8th Edition F. Charles Brunicardi, et al Copyright © 2005, The McGraw-Hill Companies, Inc.Chapter 15. Skin and Subcutaneous Tissue Scott L. Hansen, Stephen J. Mathes, David M. Young
2.2.1 ABI< 0.9
2.2.2.1 Diabetes
2.2.2.2 Hypercholesterolemia
2.2.2.3 Smoker
2.2.3.1 Aching Pain in extremity relieved by rest
2.2.3.2 Asymmetric Blood Pressure in Extremities
2.2.3.3 Asymmetric Pulses
2.2.3.4 Bruit
2.2.3.5 Claudication
2.2.3.6 Palpable Arterial Thrill
2.2.3.7 Positive or Suspicious Doppler exam
Hurst’s The Heart 11th Edition Valentin Fuster, R. Wayne Alexander, and Robert A. O’Rourke, Eds.; Copyright ©2006 The McGraw-Hill Companies. Chapterr 101. Diagnosis and Management of Diseases of the Peripheral Arteries and Veins Paul W. Wennberg, Thom W. Rooke Emile R. Mohler, III; Peripheral Arterial Disease: Identification and Implications; Arch Intern Med 2003 163: 2306-2314
3.1.1 Suspected Peripheral Arterial Disease
3.2.1.1 The normal ABI is 1.0 to as high as 1.3, .
3.2.1.2 An ABI below 0.9 indicates peripheral arterial disease. The lower the index the more severe the changes.
3.3.1 Suspected Peripheral Arterial Disease
3.4.1 Suspected Peripheral Arterial Disease
3.5.1 Suspected Peripheral Arterial Disease
3.6.1 Suspected AVM
3.7.1 Suspected AVM
3.8.1 Suspected AVM
3.9.1 Suspected AVM
Hurst’s The Heart 11th Edition Valentin Fuster, R. Wayne Alexander, and Robert A. O’Rourke, Eds.; Copyright ©2006 The McGraw-Hill Companies. Chapterr 101. Diagnosis and Management of Diseases of the Peripheral Arteries and Veins Paul W. Wennberg, Thom W. Rooke
Emile R. Mohler, III; Peripheral Arterial Disease: Identification and Implications; Arch Intern Med 2003 163: 2306-2314 White, Robert I., Jr, Pollak, Jeffrey, Persing, John, Henderson, Katharine J., Thomson, J. Grant, Burdge, Catherine M. Long-Term Outcome of Embolotherapy and Surgery for High-Flow Extremity Arteriovenous Malformations J Vasc Interv Radiol 2000 11: 1285-129
Schwartz’s Principles of Surgery, 8th Edition F. Charles Brunicardi, et al Copyright © 2005, The McGraw-Hill Companies, Inc.Chapter 15. Skin and Subcutaneous Tissue Scott L. Hansen, Stephen J. Mathes, David M. Young Albrecht, Thomas, Foert, Ellen, Holtkamp, Robin, Kirchin, Miles A., Ribbe, Constanze, Wacker, Frank K., Kruschewski, Martin, Meyer, Bernhard C. 16-MDCT Angiography of Aortoiliac and Lower Extremity Arteries: Comparison with Digital Subtraction Angiography Am. J. Roentgenol. 2007 189: 702-711
4 Abnormal Lab or Imaging presented as primary indication
5.1 Prior repair of aneurysm
5.2 Known arterial disease, pre-surgical evaluation