Peripheral arterial disease and the CKD patient: The case for early screening, diagnosis, and minimally invasive revascularization

✍ Scribed by Brian LaMendola; James Altrichter; Andrea Cutillo; Anna Price

• Book ID: 102142056
• Publisher: Wiley (John Wiley & Sons)
• Year: 2010
• Tongue: English
• Weight: 207 KB
• Volume: 39
• Category: Article
• ISSN: 0090-2934
• DOI: 10.1002/dat.20498

✦ Synopsis

Abstract

Peripheral arterial disease (PAD) is a general term used to describe obstructive atherosclerosis of the lower extremities. PAD occurs when cholesterol or plaque builds up in the arteries outside the heart—typically in the legs or pelvis—limiting normal blood flow and increasing the risk of heart attack or stroke. PAD is more com‐mon in patients with chronic kidney disease than in the general population. Patients with impaired renal function have a greater than twofold risk of developing PAD, and in the dialysis population, the incidence of clinical PAD is 15%. We discuss the importance of early screening and diagnosis of this serious circulatory problem, and include a checklist that any member of the renal team can use to discuss symptoms with patients.