Clinical Challenges in Vascular Surgery: Intermittent Claudication

A 67 year old woman with a history of hypertension, hyperlipidemia, diabetes, and a 25 pack year smoking history is referred your clinic and is referred for evaluation of her peripheral arterial disease. She reports pain with walking that has limited her doing some daily activities. How can you optimally manage this patient? Does she need an operation? In this episode, we will cover the basics of peripheral arterial disease, discuss the specifics of optimal medical management and dive into the nuances of when (or if) you should offer these patients an operation.

Hosts:
Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan.

Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan

Learning Objectives
- Review the definition, prevalence, and risk factors for peripheral arterial disease
- Understand the specifics of optimal medical management of patients with peripheral arterial disease
- Discuss the controversy regarding operative management of patients with claudication and review indications for an operation in patients with peripheral arterial disease
- Review the appropriate anti-platelet and anti-coagulation strategies after interventions in patients with peripheral arterial disease

References
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