Talk:Peripheral vascular disease
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[edit] Shouldn't
Shouldn't ABI be Ankle Brachial Index?
- Yes, it should. I have corrected it. Axl 22:40, 3 Jun 2005 (UTC)
Isn't this also known as PVOD? —Preceding unsigned comment added by Mkayatta (talk • contribs) 15:27, 18 February 2008 (UTC)
[edit] Systematic review
The medical management of PAOD was recently reviewed: PMID 16449620. JFW | T@lk 21:04, 4 July 2006 (UTC)
[edit] Fontaine Stages
The 5-stage Fontaine staging mentioned in the article is not one I've ever seen before. As far as I know the common Fontaine stages (at least here in Europe) are:
Fontaine I: asymptomatic
Fontaine II: intermittent claudication (sometimes subdivided in IIa: intermittent claudication without impairment or max walking distance >200m and IIb: with impairment or max.walk.dist <200m)
Fontaine III: nightly or rest pain
Fontaine IV: tissue loss (necrosis or non-healing ulcers).
--- Arthurs 11:15, 30 December 2006 (UTC)
[edit] Problems with Mechanical Drilling
of the lower extremity arteries does not seem to be covered in the PAD articles including this one.
What are the results of such surgeries? (infections; residue from shaving plaque; clogging; scar clogging; time span of the improvement of such action; especially where the waist down clogging is extensive, is there really potential for substantial improvement; like several years for example? apparently not--improvement is minimal at best or such things would be discussed!)
The results of usage of the Foxhollow System referred to in a footnote to this article is not covered or is any of the other "drilling methods". Why is this not covered in this article? Why are the dark secrets not discussed? Pugetkid 09:32, 4 June 2007 (UTC)Pugetkid 6-3-07
[edit] Notes from a professional
I do these various tests and diagnosis for a living. And I just wanted to tell people some various things. 1) If you do not have REPEATABLE pain with walking you do not have claudication. Claudication is not a on again off again symptom. It will happen every time. 2) Numbness is not a symptom. Numbness is a nerve problem. If you circulation is so bad that you have numbness in your extremities, that indicates that the circulation is so bad that the nerves have died. In which case you will have accompaning tissue loss. 3) The chances of being able to do angioplasty to repair this is low. Also the length or time for repair with angioplasty is also low. 4) CT as a diagnostic tool is hardly ever used. The only time I know of is when someone is alleragic to the dye used during angioplasty. And with recient advances is ultrsaound we're moving away from even using it for that. 5) The fox method is also hardely ever used (in my area at least), There is a very specific visualiztion that will alow this procedure to be used. Chances are you will need a bypass.
