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Lower Extremity Peripheral Artery Disease 2024

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6 Overview Table 2. Definitions of PAD Key Terms Term Definition Structured community- based exercise program A structured exercise program that takes place in the personal setting of the patient (eg, home, surrounding neighborhood, fitness facility). e program is self-directed with as-needed guidance of health care professionals who prescribe a structured exercise regimen similar to that performed in a supervised program setting. Community-based programs may incorporate behavioral change techniques, delivered by in-person or virtual health coaching or the use of activity monitors. Table 14 provides more detail regarding this form of structured exercise. Supervised exercise therapy A supervised, structured exercise program that takes place in a hospital or outpatient facility that is directly supervised by a physician or advanced practice provider and most oen implemented by a clinical exercise physiologist or nurse. Table 14 includes more detail regarding this form of structured exercise. Surgical revascularization Surgical procedures that may involve endarterectomy to remove plaque, thrombectomy, or bypass surgery to reconstruct arterial blood flow. rombolysis Administration of thrombolytic agents, generally through a catheter placed directly within an area of thrombus in an artery. Tissue loss • Minor—Nonhealing ulcer, focal gangrene. • Major—Tissue loss extending above the transmetatarsal level; functional foot no longer salvageable. WIf I • A clinical staging system for patients with CLTI that incorporates the wound extent, degree of ischemia, and severity of foot infection. • WIf I class correlates with CLTI outcomes, including time to wound healing, amputation rate, and amputation-free survival. (cont'd)

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