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提高外周动脉疾病患者护理适宜性的标准。

Raising the bar for appropriateness in the care of patients with peripheral artery disease.

作者信息

Ochoa Chaar Cassius Iyad, Fereydooni Arash, Lawrence Peter F, Dardik Alan

机构信息

Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Yale University School of Medicine, New Haven, Conn.

出版信息

J Vasc Surg Cases Innov Tech. 2019 Jul 5;5(3):345-349. doi: 10.1016/j.jvscit.2019.03.009. eCollection 2019 Sep.

Abstract

Advances in endovascular therapy have exponentially increased the number of procedures performed for peripheral artery disease, but public concerns of overuse have placed the vascular community under scrutiny. The appropriateness of care has thus become a focus of discussion within several professional societies, but literature on the topic is limited. This report presents two cases of patients with peripheral artery disease, one patient who did not need revascularization and underwent an intervention and the other who required additional intervention that was not recognized owing to an incomplete diagnostic workup.

摘要

血管内治疗的进展使外周动脉疾病的手术数量呈指数级增长,但公众对过度治疗的担忧使血管领域受到了审视。因此,医疗服务的适宜性已成为多个专业协会讨论的焦点,但关于这一主题的文献有限。本报告介绍了两例外周动脉疾病患者的病例,一例患者不需要血管重建却接受了干预,另一例患者因诊断检查不完整而未识别出需要额外干预的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c01/6614600/9d7d6e6a3f0c/gr1.jpg

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