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Chapter 148  Peripheral Artery Disease  2167

            FUTURE DIRECTIONS                                     PROGNOSIS AND OUTCOMES IN  
                                                                  PERIPHERAL ARTERY DISEASE
            A better understanding of the factors that contribute to intermittent
            claudication and CLI is needed to craft innovative and durable thera-  Cacoub  PP,  Abola  MT,  Baumgartner  I,  et al:  Cardiovascular  risk  factor
            peutic interventions for management of the limb complications of   control and outcomes in peripheral artery disease patients in the Reduc-
            PAD.  In  addition,  greater  knowledge  is  needed  about  the  unique   tion  of  Atherothrombosis  for  Continued  Health  (REACH)  registry.
            contributors to atherogenesis and thrombosis in the lower extremities   Atherosclerosis 204:e86, 2009.
            compared with other arterial beds. Further understanding of down-  Fowkes FG, Murray GD, Butcher I, et al: Ankle brachial index combined
            stream effects of compromised blood flow, such as changes in skeletal   with Framingham risk score to predict cardiovascular events and mortal-
            muscle  energetics  and  impaired  neural  function,  will  inform  the   ity: a meta-analysis. JAMA 300:197, 2008.
            design and development of novel pharmacotherapies for individuals   Kumbhani  DJ,  Steg  PG,  Cannon  CP,  et al:  Statin  therapy  and  long-term
            with PAD. Finally, more comparative efficacy studies are needed to   adverse limb outcomes in patients with peripheral artery disease: insights
            clarify ongoing debates with respect to the relative benefits of exercise   from the REACH registry. Eur Heart J 35(41):2864–2872, 2014.
            training versus invasive therapies; endovascular versus surgical revas-
            cularization; and the impact of cell-based therapies in the treatment
            of PAD. Greater knowledge dissemination regarding PAD diagnosis   THERAPY FOR PATIENTS WITH  
            and  risks  associated  with  PAD  remain  key  to  early  detection  and
            implementation of risk factor modification therapies to improve the   PERIPHERAL ARTERY DISEASE
            care of this high-risk population.
                                                                  Belch J, Hiatt WR, Baumgartner I, et al: Effect of fibroblast growth factor
                                                                    Nv1FGF  on  amputation  and  death:  a  randomised  placebo-controlled
            SUGGESTED READINGS                                      trial of gene therapy in critical limb ischaemia. Lancet 377:1929, 2011.
                                                                  Berger  JS,  Krantz  MJ,  Kittelson  JM,  et al:  Aspirin  for  the  prevention  of
            COMPREHENSIVE GUIDELINES FOR THE                        cardiovascular events in patients with peripheral artery disease: a meta-
                                                                    analysis of randomized trials. JAMA 301:1909, 2009.
            MANAGEMENT OF PATIENTS WITH ATHEROSCLEROTIC           Bhatt DL, Flather MD, Hacke W, et al: Patients with prior myocardial infarc-
            VASCULAR DISEASE, INCLUDING EPIDEMIOLOGY,               tion, stroke, or symptomatic peripheral arterial disease in the Charisma
            PATHOPHYSIOLOGY, AND MANAGEMENT OF                      trial. J Am Coll Cardiol 49:1982, 2007.
            PERIPHERAL ARTERY DISEASE                             Bonaca MP, Bhatt DL, Storey RF, et al: Ticagrelor for prevention of ischemic
                                                                    events  after  myocardial  infarction  in  patients  with  peripheral  artery
                                                                    disease. J Am Coll Cardiol 67:2719, 2016.
            Gerhard-Herman MD, Gornik HL, Barrett C, et al: 2016 AHA/ACC guide-  Cooke JP, Losordo DW: Modulating the vascular response to limb ischemia.
              line on the management of patients with lower extremity peripheral artery   Circ Res 116:1561, 2015.
              disease: executive summary. J Am Coll Cardiol 69:1465–1508, 2017.  Fakhry  F,  Spronk  S,  van  der  Laan  L,  et al:  Endovascular  revascularization
            Hirsch AT, Haskal ZJ, Hertzer NR, et al: ACC/AHA 2005 Practice guidelines   and  supervised  exercise  for  peripheral  artery  disease  and  intermittent
              for  the  management  of  patients  with  peripheral  arterial  disease  (lower   claudication: a randomized clinical trial. JAMA 314:1936, 2015.
              Extremity, renal, mesenteric, and abdominal aortic): a collaborative report   Fowkes FG, Price JF, Stewart MC, et al: Aspirin for prevention of cardio-
              from the American Association for Vascular Surgery/Society for Vascular   vascular events in a general population screened for a low ankle brachial
              Surgery,  Society  for  Cardiovascular  Angiography  and  Interventions,   index: a randomized controlled trial. JAMA 303:841, 2010.
              Society  for  Vascular  Medicine  and  Biology,  Society  of  Interventional   Hiatt WR,  Fowkes  FGR,  Heizer  G,  et al: Ticagrelor  versus  clopidogrel  in
              Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing   symptomatic peripheral artery disease. N Engl J Med 376:32, 2017.
              Committee to Develop Guidelines for the Management of Patients with   Murphy TP,  Cutlip  DE,  Regensteiner  JG,  et al:  Supervised  exercise  versus
              Peripheral  Arterial  Disease):  endorsed  by  the  American  Association  of   primary stenting for claudication resulting from aortoiliac peripheral artery
              Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and   disease: six-month outcomes from the claudication: Exercise Versus Endo-
              Blood Institute; Society for Vascular Nursing; Transatlantic Inter-Society   luminal Revascularization (CLEVER) study. Circulation 125:130, 2011.
              Consensus;  and  Vascular  Disease  Foundation.  Circulation  113:e463,   Pande RL, Hiatt WR, Zhang P, et al: A pooled analysis of the durability and
              2006.                                                 predictors of treatment response of cilostazol in patients with intermittent
            Kullo IJ, Rooke TW: Peripheral artery disease. N Engl J Med 374:861, 2016.  claudication. Vasc Med 15:181, 2010.
            Norgren L, Hiatt WR, Dormandy JA, et al: Inter-society consensus for the   Heart  Study  Collaboration  Group:  Randomized  trial  of  the  effects  of
              management of peripheral arterial disease (TASC II). J Vasc Surg 45:S5,   cholesterol-lowering  with  simvastatin  on  peripheral  vascular  and  other
              2007.                                                 major vascular outcomes in 20,536 people with peripheral arterial disease
            Rooke TW, Hirsch AT, Misra S, et al: 2011 ACCF/AHA Focused update   and other high-risk conditions. J Vasc Surg 45:645, 2007.
              of the guideline for the management of patients with peripheral artery   Stewart KJ, Hiatt WR, Regensteiner JG, et al: Exercise training for claudica-
              disease (updating the 2005 guideline): a report of the American College   tion. N Engl J Med 347:1941, 2002.
              of  Cardiology  Foundation/American  Heart  Association  Task  Force  on   Tepe  G,  Zeller  T,  Albrecht  T,  et al:  Local  delivery  of  paclitaxel  to
              Practice Guidelines. Circulation 124:2020, 2011.      inhibit restenosis during angioplasty of the leg. N Engl J Med 358:689,
                                                                    2008.
                                                                  Yusuf S, Sleight P, Pogue J, et al: Effects of an angiotensin-converting-enzyme
            PREVALENCE, INCIDENCE, AND RISK FACTORS                 inhibitor,  ramipril,  on  cardiovascular  events  in  high-risk  patients. The
            FOR PERIPHERAL ARTERY DISEASE                           Heart Outcomes Prevention Evaluation study investigators. N Engl J Med
                                                                    342:145, 2000.
            Criqui M, Aboyans V: Epidemiology of peripheral artery disease. Circ Res   Bonaca  MP,  Scirica  BM,  Creager  MA,  et al:  Vorapaxar  in  patients  with
              116:1509, 2015.                                       peripheral  artery  disease:  results  from  TRA2P-TIMI  50.  Circulation
            Fowkes FG,  Rudan  D, Rudan  I, et al:  Comparison of  global  estimates of   127(14):1522–1529, 2013.
              prevalence and risk factors for peripheral artery disease in 2000 and 2010:
              a systematic review and analysis. Lancet 382(9901):1329–1340, 2013.
            Pande  RL,  Perlstein  TS,  Beckman  JA,  et al:  Secondary  prevention  and   REFERENCES
              mortality  in  peripheral  artery  disease:  National  Health  and  Nutrition
              Examination Study, 1999 to 2004. Circulation 124:17, 2011.  For the complete list of references, log on to www.expertconsult.com.
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