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Abstract: . . . Moderate to Severe claudication or limb ischemia with consideration to revascularization Atypical symptoms of exertional limb discomfort; Serial examinations to demonstrate clinical effects of intervention Advanced Intermittent Claudication, Critical Limb Ischemia with need for Revascularization; Post-Catheterization Access Site Complication . . . . . . duplex scanning in assessment of aorto-iliac disease . J Vasc Tech 1994;18:337-44. 289 History and Physical Examination Suspicious for PAD Ankle-Brachial Index Symptom evaluation: -ABI Treadmill test Decreased post exercise ABI NormalNo PAD Normal post-exercise ABI: No PAD PERIPHERAL ARTERIAL DISEASE --- Symptom Limited? Decreased . . . . . . Harrison CL, et al . A comparison of common femoral waveform analysis with aorto-iliac duplex scanning in assessment of aorto-iliac disease . J Vasc Tech 1994;18:337-44. 289 History and Physical Examination Suspicious for PAD Ankle-Brachial Index Symptom evaluation: -ABI Treadmill test Decreased post exercise ABI NormalNo PAD Normal post-exercise ABI: . . . . . . post-exercise ABI: No PAD PERIPHERAL ARTERIAL DISEASE --- Symptom Limited? Decreased post exercise ABI Evaluate other causes of LE symptoms DUS, MRA, Angiography Vascular Laboratory: - PVR - Toe pressure - Duplex imaging <0.90 0.90-1.30 >1.30 . . . . . . post-exercise ABI: No PAD PERIPHERAL ARTERIAL DISEASE --- Symptom Limited? Decreased post exercise ABI Evaluate other causes of LE symptoms DUS, MRA, Angiography Vascular Laboratory: - PVR - Toe pressure - Duplex imaging <0.90 0.90-1.30 >1.30 . . . . . . Using the ankle-brachial index, segmental limb pressures, pulse volume recordings, and arterial duplex ultrasonography, all of the required infor- mation is available to plan therapy. Exercise treadmill testing confirms the diagnosis and demonstrates the functional limitation of PAD. Magnetic resonance arteriography is obviating the need for contrast arteriography in peripheral arterial disease . . . . . . common femoral waveform analysis with aorto-iliac duplex scanning in assessment of aorto-iliac disease . J Vasc Tech 1994;18:337-44. 289 History and Physical Examination Suspicious for PAD Ankle-Brachial Index Symptom evaluation: -ABI Treadmill test Decreased post exercise ABI NormalNo PAD Normal post-exercise ABI: No PAD PERIPHERAL ARTERIAL DISEASE . . . --3000,7,214,3321,22746
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