A 58-year-old, previously healthy mail carrier reports cramping pain in his right calf when he walks. The discomfort has progressively worsened over the past 6 months and is interfering with his ability to perform his job; he can now walk no farther than half a block without rest. He has a normal right femoral pulse and a diminished right popliteal pulse; right ankle and foot pulses are absent. How should this patient be evaluated and treated? Should he undergo revascularization?
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Christopher J. White (2007) studied this question.
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