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Lower Extremity Peripheral Artery Disease 2024

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5 Table 2. Definitions of PAD Key Terms Term Definition Functional status Patient's ability to meet basic needs, fulfill usual roles, and maintain health and well-being (activities of daily living ). Walking ability/ performance and mobility are components of functional status. Hybrid revascularization Approach to revascularization that includes endovascular and surgical components either concomitantly or in a staged manner. In-line (pulsatile) blood flow Uninterrupted arterial flow via named infrapopliteal arteries to the foot. Inflow versus outflow Inflow refers to arteries proximal to the superficial femoral artery (aortoiliac, common femoral arteries). Outflow refers to arteries distal to the superficial femoral artery (popliteal and infrapopliteal arteries). MACE Variably defined but usually includes death (all-cause or cardiovascular), MI, acute coronary syndrome (acute MI, unstable angina), and stroke. May also include heart failure, rehospitalization for cardiovascular causes, and other cardiovascular endpoints. MALE Variably defined but usually includes major amputation and endovascular or surgical lower extremity revascularization (initial or reintervention). May also include ALI. Multispecialty care team for PAD • A team of professionals representing different specialties and disciplines to assist in the evaluation and management of the patient with PAD and especially CLTI. • For the care of patients with CLTI, the care team should include individuals who are skilled in endovascular revascularization, surgical revascularization, wound-healing therapies and foot surgery, and medical evaluation and care. • Table 15 includes the list of multispecialty care team members. • Patients and family members collaborate with the multispecialty care team for management of CLTI. Regions of the foot • Forefoot—Extends from the tarsometatarsal joint and incorporates the phalanges, metatarsal, and sesamoid bones. • Midfoot—Begins at the transverse tarsal joint and extends to the tarsometatarsal joint, incorporating the navicular, cuboid, and cuneiform bones. • Hindfoot—Begins at the ankle joint and ends at the transverse tarsal joint, incorporating the calcaneus and talus bones. Structured exercise program An exercise program planned by a qualified health care professional that provides recommendations for exercise training with a goal of improving functional status over time. e program provides individualized recommendations for frequency, intensity, time, and type of exercise. (cont'd)

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