Why the study?
What is the optimal revascularization strategy for patients with concurrent severe coronary artery disease and peripheral artery disease?
What is the optimal revascularization strategy for patients with concurrent severe coronary artery disease and peripheral artery disease?
In patients with concurrent CAD and PAD, individualized and timely revascularization strategies for both coronary and peripheral arteries are essential to improve long-term prognosis and limb salvage.
May support coronary-first strategy in severe CAD with critical limb ischemia; leaves open prospective validation before practice change.
coronary artery disease: CAD)は喫煙・高血圧・ 糖尿病・腎機能障害などの危険因子を有する症例に発症する． このため，脳血管や末梢血管に高頻度に動脈硬化性病変を認 める．特に下肢動脈は動脈硬化性病変の好発部位であり，患 者年齢の高齢化， 糖尿病症例や透析症例の増加などを背景に， 下肢動脈閉塞性病変(peripheral artery disease: PAD)を有す る CAD 症例も近年増加傾向である． 2
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Kimura et al. (2018) conducted a review in Coronary artery disease and peripheral artery disease. Coronary and peripheral revascularization was evaluated.
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