PVD-SURGICAL MANAGEMENT

SUMMARY

1. In general, proximal (iliac and femoral-popliteal) stenosis and short-segment occlusions are best treated endovascularly.
2. Long lesions and occlusions best treated surgically.

3. With acute peripheral arterial occlusion, heparin protects the collateral circulation during evaluation by preventing thrombus formation around the new clot.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].