Intermittent claudication should not be treated by surgery

This debate examines the proposition that surgery is unnecessary or obsolete in the management of intermittent claudication. The case for this argument is that many patients have stable disease or respond well to conservative measures, that claudication is an expression of a systemic cardiovascular...

Full description

Saved in:
Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 1997-07, Vol.79 (4), p.264-267
Main Authors: Phillips, M J, Cowan, A R, Johnson, C D
Format: Article
Language:English
Subjects:
Angioplasty, Balloon
Cardiovascular Diseases - etiology
Humans
Intermittent Claudication - complications
Intermittent Claudication - surgery
Intermittent Claudication - therapy
Risk Factors
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This debate examines the proposition that surgery is unnecessary or obsolete in the management of intermittent claudication. The case for this argument is that many patients have stable disease or respond well to conservative measures, that claudication is an expression of a systemic cardiovascular illness and that surgery can be replaced by endovascular techniques with equal success, and less disadvantage in the event of treatment failure. The case against the motion is that claudication is associated with repeated cycles of ischaemia and reperfusion, and that these contribute to excess cardiovascular mortality states and, furthermore, that surgery is the only option to relieve symptoms for many patients, especially those with distal disease.
ISSN:0035-8843
1478-7083