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The importance of optimal medical therapy in patients undergoing lower extremity bypass.
- Source :
-
Current opinion in cardiology [Curr Opin Cardiol] 2024 Sep 01; Vol. 39 (5), pp. 451-456. Date of Electronic Publication: 2024 May 01. - Publication Year :
- 2024
-
Abstract
- Purpose of Review: The prevalence of peripheral artery disease is growing, with millions of people globally suffering its end-stage manifestation, chronic limb-threatening ischemia (CLTI). Revascularization procedures like lower extremity bypass play a vital role in limb salvage but optimal medical therapy is essential for maximizing the benefit of these procedures and reducing long-term risks of cardiovascular and limb-related events.<br />Recent Findings: Patients with PAD who undergo lower extremity bypass warrant a comprehensive approach to risk factor modification for both primary and secondary prevention of cardiovascular and limb-related complications. This includes appropriate use of high-intensity statins, smoking cessation, and management of hypertension and diabetes. Additionally, antiplatelet therapy is indicated for all patients with CLTI and additional treatment with low-dose anticoagulation may also be beneficial.<br />Summary: Optimal medical therapy is essential for optimizing outcomes in patients with PAD undergoing lower extremity bypass.<br /> (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors therapeutic use
Platelet Aggregation Inhibitors therapeutic use
Chronic Limb-Threatening Ischemia surgery
Smoking Cessation methods
Risk Factors
Anticoagulants therapeutic use
Limb Salvage methods
Peripheral Arterial Disease surgery
Peripheral Arterial Disease drug therapy
Lower Extremity surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1531-7080
- Volume :
- 39
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Current opinion in cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 39110079
- Full Text :
- https://doi.org/10.1097/HCO.0000000000001157