RT Book, Section
A1 Thors, Axel
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105289515
T1 FEMORAL POPLITEAL DISEASE: BYPASS
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesscardiology.mhmedical.com/content.aspx?aid=1105289515
RD 2024/04/20
AB A  61-year-old  man  was  referred  to  vascular  surgery  for  a  several-year  history  of  bilateral  lower  extremity  calf  claudication  at  two  blocks.  His  claudication  symptoms  were  described  as  significantly  lifestyle  limiting.  Peripheral  vascular  risk  factors  included  hypertension  (HTN),  hyperlipidemia,  and  tobacco  abuse  (20  pack-years).  The  patient  denied  symptoms  of  rest  pain  and  did  not  have  any  evidence  of  tissue  loss.  His  pedal  pulses  were  not  palpable  but  were  heard  with  a  Doppler  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.