Hardman Rulon L, Jazaeri Omid, Yi J, Smith M, Gupta Rajan
Department of Radiology, University of Colorado Denver, Aurora, Colorado.
Department of Radiology, University of Colorado Denver, Aurora, Colorado ; Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, University of Colorado Denver, Aurora, Colorado.
Semin Intervent Radiol. 2014 Dec;31(4):378-88. doi: 10.1055/s-0034-1393976.
Peripheral artery disease (PAD), secondary to atherosclerotic disease, is currently the leading cause of morbidity and mortality in the western world. While PAD is common, it is estimated that the majority of patients with PAD are undiagnosed and undertreated. The challenge to the treatment of PAD is to accurately diagnose the symptoms and determine treatment for each patient. The varied presentations of peripheral vascular disease have led to numerous classification schemes throughout the literature. Consistent grading of patients leads to both objective criteria for treating patients and a baseline for clinical follow-up. Reproducible classification systems are also important in clinical trials and when comparing medical, surgical, and endovascular treatment paradigms. This article reviews the various classification systems for PAD and advantages to each system.
继发于动脉粥样硬化疾病的外周动脉疾病（PAD），目前是西方世界发病和死亡的主要原因。虽然PAD很常见，但据估计，大多数PAD患者未被诊断和治疗不足。PAD治疗面临的挑战是准确诊断症状并为每位患者确定治疗方案。外周血管疾病的多种表现形式导致了文献中众多的分类方案。对患者进行一致的分级可为治疗患者提供客观标准，并为临床随访提供基线。可重复的分类系统在临床试验以及比较药物、手术和血管内治疗模式时也很重要。本文回顾了PAD的各种分类系统以及每个系统的优点。
