Intermittent claudication is a symptomatic manifestation of PAD. Its natural history rarely includes limb loss when managed conservatively; progression to chronic limb-threatening ischemia occurs in a very small subset of patients. The indication for revascularization is to improve quality of life and physical function, not to reduce the risk of limb loss. Close follow-up to assure medical compliance, monitor the quality of life, and implement risk reduction strategies to optimize the overall vascular health of the patient is essential.

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The Natural History of the Limb in Patients with Intermittent Claudication

  • Phong Vu,
  • Leigh Ann O’Banion

摘要

Intermittent claudication is a symptomatic manifestation of PAD. Its natural history rarely includes limb loss when managed conservatively; progression to chronic limb-threatening ischemia occurs in a very small subset of patients. The indication for revascularization is to improve quality of life and physical function, not to reduce the risk of limb loss. Close follow-up to assure medical compliance, monitor the quality of life, and implement risk reduction strategies to optimize the overall vascular health of the patient is essential.