medigraphic.com
Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2017, Number 4

<< Back Next >>

Rev Mex Angiol 2017; 45 (4)

Propuesta de algoritmo diagnóstico en enfermedad arterial periférica con laboratorio vascular no invasivo en el Hospital General de México

León-Rey CC, Lecuona-Huet NE, Fabián-Mijangos W, Betanco-Peña AX, Casares-Bran TM, Rodríguez-López JE

Language: Spanish
References: 30
Page: 170-192
PDF size: 722.14 Kb.


ABSTRACT

Peripheral arterial disease (PAD) is one of the most prevalent conditions and coexistence with vascular disease in other locations is common. Early diagnosis is important in order to improve the patient's quality of life and reduce the risk of major secondary events. After initial clinical evaluation and physical examination, patients with suspected PAD should be studied in a vascular laboratory using non-invasive physiological tests such as ankle-brachial index (ABI), toe- brachial index (TBI), pole test, segmental limb pressures, pulse volume recording, ABI with exercise / claudicometry and duplex ultrasound; Which are relatively inexpensive, can be performed safely and provide prognostic information. In relation to these tests, an algorithm has been proposed for the diagnosis of PAD in high-risk patients, either symptomatic or asymptomatic, in the Departament of Angiology and Vascular Surgery of the General Hospital of Mexico “Dr. Eduardo Liceaga”.


REFERENCES

  1. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; Trans Atlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation 2006; 113: e463-654.

  2. Diagnóstico y Tratamiento de la Enfermedad Arterial Periférica de Miembros Inferiores. Ciudad de México: Secretaría de Salud, 16/03/2017.

  3. Sibley RC, Reis SP, MacFarlane JJ, et al. Noninvasive Physiologic Vascular Studies: A Guide to Diagnosing Peripheral Arterial Disease. Radio Graphics 2017; 37: 346- 57.

  4. Mohler E 3rd, Giri J. Management of peripheral arterial disease patients: comparing the ACC/AHA and TASC-II guidelines. Curr Med Res Opin 2008; 24(9): 2509-22.

  5. Serrano-Hernando FJ, Martín-Conejero A. Enfermedad arterial periférica: aspectos fisiopatológicos, clínicos y terapéuticos. Rev Esp Cardiol 2007; 60: 969-82.

  6. Norgren L, Hiatt W, Dormandy J, Nehler M, Harris K, Fowkes F. Inter-Society Consensus for the management of peripheral arterial disease (TASCII). J Vascul Surg 2007; 45(Suppl. S): S5AS67A.

  7. Selvin E, Marinopoulos S, Berkenblit G, Rami T, Brancati FL, Powe NR, et al. Meta-analysis: glycosylated hemoglobin and cardiovascular disease in diabetes mellitus. Ann Intern Med 2004; 141: 421-31.

  8. Cole CW, Hill GB, Farzad E, Moher D, Rody K, Shea B, et al. Cigarette smoking and peripheral occlusive disease. Surgery 1993; 114: 753-7.

  9. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2016; 000:000-000. DOI: 10.1161/ CIR.0000000000000470.

  10. Tendera M, Aboyans V, Bartelink ML, Baumgartner I, Clement D, Collet JP, et al. Guía de práctica clínica de la Sociedad Europea de Cardiología sobre diagnóstico y tratamiento de las enfermedades arteriales periféricas. Rev Esp Cardiol 2012; 65(2): 172.e1-e57.

  11. Leng G, Fowkes F. The Edinburgh claudication questionnaire: an improved version of the WHO/Rose questionnaire for use in epidemiological surveys. J Clin Epidemiol 1992; 45: 1101-9.

  12. Sontheimer DL. Peripheral vascular disease: diagnosis and treatment. Am Fam Physician 2006; 73(11): 1971-6.

  13. Manzano L, Mostaza JM, Suárez C, et al. Modificación de la estratificación del riesgo vascular tras la determinación del índice tobillo brazo en pacientes sin enfermedad arterial conocida. Estudio MERITO. Med Clin (Barc) 2007; 128(7): 241-6.

  14. Pousti TJ, Wilson SE, Williams RA. Clinical examination of the vascular system. In: Veith FJ, Hobson RW, Williams RA. Vascular surgery. Principles and practice. McGraw Hill; 1994, p. 77.

  15. March-García JR, Fontcuberta-García JM, et al. Guías básicas para el estudio no invasivo de la isquemia crónica de miembros inferiores. Angiología 2009; 61(Supl. 1): S75-S92.

  16. Ankle Brachial Index, Quick Reference Guide for Clinicians. J WOCN 2012; 39(2S): S21-S29

  17. Pickering TG, et al. AHA Scientific Statement. Recommendations for Blood Pressure Measurement in Humans and Experimental Animals Part 1: Blood Pressure Measurement in Humans. Circulation 2005; 111: 697- 716.

  18. Tehan PE, Santos D, Chuter VH. A systematic review of the sensitivity and specificity of the toe-brachial index for detecting peripheral artery disease. Vasc Med 2016, 21(4): 382-9.

  19. Bundó M, Urrea M, Muñoz L, et al. Correlación entre los índices dedo-brazo y tobillo-brazo en pacientes con diabetes mellitus tipo 2. Med Clin (Barc) 2013; 140(9): 390-4.

  20. Høyer C, Sandermann J, Petersen LJ. The toe-brachial index in the diagnosis of peripheral arterial disease. J Vasc Surg 2013; 58: 231-8.

  21. Wickström JE, et al. Toe Pressure and Toe Brachial Index are Predictive of Cardiovascular Mortality, Overall Mortality, and Amputation Free Survival in Patients with Peripheral Artery Disease. Eur J Vasc Endovasc Surg 2017, http://dx.doi.org/ 10.1016/j.ejvs.2017.02.012

  22. Paraskevas N, Ayari R, Malikov S, et al. Pole Test Measurements in Critical Leg Ischaemia. Eur J Vasc Endovasc Surg 2006; 31: 253-7.

  23. Pahlesson HI, Wahlberg E, et al. The Toe Pole Test for Evaluation of Arterial Insufficiency in Diabetic Patients. Eur J Vasc Endovasc Surg 1999; 18: 133-7.

  24. Sensier, et al. A Comparison Between Colour Duplex Ultrasonography and Arteriography for Imaging Infrapopliteal Arterial Lesions. Eur J Vasc Endovasc Surg 1998: 15: 44-50.

  25. Hwang JY. Doppler ultrasonography of the lower extremity arteries: anatomy and scanning guidelines. Ultrasonography 2017; 36(2): 111-19.

  26. Thrush A, Hartshorne T, et al. Ecografía Vascular. Cómo, por qué y cuándo. Barcelona, España: Elsevier; 2011.

  27. Zierler RE. Ecografía dúplex de las arterias de la extremidad inferior. En: Zwiebel WJ, Pellerito JS (eds.). Introduction to vascular ultrasonography. 5th ed. Philadelphia, PA: Elsevier Saunders; 2004, p. 263-86.

  28. Zierler RE, Zierler BK. Duplex sonography of lower arteries. Semin Ultrasound CT MR 1997; 18: 42.

  29. Schäberle W. Ultrasonography in Vascular Diagnosis. Germany. Springer-Verlag Berlin Heidelberg

  30. Gerhard-Herman M, Gardin JM, et al. Guidelines for Noninvasive Vascular Laboratory Testing: A Report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology. J Am Soc Echocardiogr 2006; 19: 955-72.




2020     |     www.medigraphic.com