Urasawa Kazushi, Sato Katsuhiko, Koshida Ryoji, Honma Yukiko
Cardiovascular Center, Tokeidai Memorial Hospital.
Nihon Rinsho. 2011 Feb;69(2):318-21.
Peripheral arterial disease (PAD) becomes a significant health problem in Japan, mostly because the rapid increase of aging and diabetic population. Intermittent claudication, rest pain, intractable foot ulcer and gangrene are the manifestations of PAD patients. Diagnosis of PAD is obtained by ankle brachial index. Several imaging modalities, such as duplex echo, multi-detector CT, are quite useful tools not only for the diagnosis but also for the planning of endovascular therapy. In this chapter, basic diagnosis, different treatment modalities in patients with PAD are described.
外周动脉疾病（PAD）在日本已成为一个严重的健康问题，这主要是由于老龄化和糖尿病患者人数的迅速增加。间歇性跛行、静息痛、顽固性足部溃疡和坏疽是PAD患者的表现。通过踝肱指数可诊断PAD。几种成像方式，如双功超声、多排CT，不仅是诊断的有用工具，也是血管内治疗规划的有用工具。在本章中，将描述PAD患者的基本诊断和不同的治疗方式。
