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Peripheral Vascular Intervention

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Demystifying Interventional Radiology

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Abstract

Peripheral arterial disease refers to the development of atherosclerotic plaque leading to the narrowing of arteries outside the heart. Approximately 16% of adults aged over 55 years have peripheral arterial disease (PAD) in the USA and Western Europe. Approximately 50% of patients with PAD are asymptomatic with their disease detectable only by their ankle brachial index (ABI). In patients that are symptomatic, PAD can lead to lifestyle-limiting claudication, critical limb ischemia, and limb loss. It is estimated that approximately 1.3% of the population have critical limb ischemia which requires limb salvage therapy with endovascular or surgical interventions.

Since PAD is a local manifestation of systemic atherosclerosis, patients are also at two to sixfold risk for other cardiovascular events including coronary artery disease and cerebrovascular disease. This combined with the high prevalence of chronic kidney disease in this population makes patients with PAD one of the most challenging populations to manage medically as well as with endovascular and surgical treatments.

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Acknowledgment

We would like to thank Dr. Jason Martin for his contributions to this chapter (information given on first page of chapter).

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Authors and Affiliations

  1. Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada

    Eva Liu

  2. Department of Medical Imaging, University of Toronto, Toronto, ON, Canada

    Jason Martin

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  1. Eva Liu
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Correspondence to Eva Liu .

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  1. Interventional Radiology, McMaster University, Hamilton, ON, Canada

    Sriharsha Athreya

  2. Interventional Radiology, McMaster University, Hamilton, ON, Canada

    Mahmood Albahhar

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Liu, E., Martin, J. (2022). Peripheral Vascular Intervention. In: Athreya, S., Albahhar, M. (eds) Demystifying Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-031-12023-7_19

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  • DOI: https://doi.org/10.1007/978-3-031-12023-7_19

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