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外周动脉疾病的多学科治疗方法:你的团队里都有谁?

Multidisciplinary Approach to PAD: Who's on Your Team?

作者信息

Dhand Sabeen

机构信息

Department of Radiology, Lambert Radiology Medical Group at PIH Health, Whittier, California.

出版信息

Semin Intervent Radiol. 2018 Dec;35(5):378-383. doi: 10.1055/s-0038-1676094. Epub 2019 Feb 5.

DOI:10.1055/s-0038-1676094
PMID:30728653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6363554/
Abstract

The complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), podiatry, orthopedic surgery, primary care, infectious disease, endocrinology, plastic surgery, wound care nursing, and dietetics. A team approach has been proven to significantly improve patient outcomes as well as decreasing amputation rates. In order to promote collaboration and avoid duplication of care, the team can be broken down into three main pillars: medical management, wound care, and revascularization. A complete team approach is vital for this population, with an overall goal to treat all manifestations of the disease and prevent further progression and risk of major sequelae of the disease.

摘要

外周动脉疾病(PAD)的复杂性及其多器官受累情况需要采用多专科团队的方法。该团队成员包括血管专科(介入放射学、心脏病学和血管外科)、足病学、整形外科、初级保健、传染病学、内分泌学、整形外科、伤口护理护理和营养学。事实证明,团队协作方法可显著改善患者预后并降低截肢率。为促进协作并避免护理工作的重复,该团队可分为三个主要支柱:医疗管理、伤口护理和血运重建。对于这一群体而言,完整的团队协作方法至关重要,其总体目标是治疗该疾病的所有表现形式,并防止疾病进一步发展及出现主要后遗症的风险。

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Disease Burden and Clinical Outcomes Following Initial Diagnosis of Critical Limb Ischemia in the Medicare Population.医疗保险人群中严重肢体缺血初诊后的疾病负担和临床结局
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2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS).2017年欧洲心脏病学会(ESC)与欧洲血管外科学会(ESVS)合作制定的外周动脉疾病诊断和治疗指南:涵盖颅外颈动脉和椎动脉、肠系膜、肾、上肢和下肢动脉粥样硬化疾病的文件 认可机构:欧洲卒中组织(ESO) 欧洲心脏病学会(ESC)和欧洲血管外科学会(ESVS)外周动脉疾病诊断和治疗特别工作组
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Endovascular Therapy Versus Bypass Surgery as First-Line Treatment Strategies for Critical Limb Ischemia: Results of the Interim Analysis of the CRITISCH Registry.腔内治疗与旁路手术作为临界肢体缺血的一线治疗策略:CRITISCH 登记研究的中期分析结果。
JACC Cardiovasc Interv. 2016 Dec 26;9(24):2557-2565. doi: 10.1016/j.jcin.2016.09.039.
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Critical Limb Ischemia: An Expert Statement.严重肢体缺血:专家声明。
J Am Coll Cardiol. 2016 Nov 1;68(18):2002-2015. doi: 10.1016/j.jacc.2016.04.071. Epub 2016 Sep 28.
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J Endovasc Ther. 2016 Dec;23(6):839-846. doi: 10.1177/1526602816664768. Epub 2016 Aug 24.
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Peripheral artery disease in patients with diabetes: Epidemiology, mechanisms, and outcomes.糖尿病患者外周动脉疾病:流行病学、发病机制和结局。
World J Diabetes. 2015 Jul 10;6(7):961-9. doi: 10.4239/wjd.v6.i7.961.
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The BEST-CLI trial: a multidisciplinary effort to assess which therapy is best for patients with critical limb ischemia.最佳下肢临界缺血试验(BEST-CLI):一项评估哪种治疗方法最适合下肢临界缺血患者的多学科研究。
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