Non-surgical Management of Peripheral Vascular Disease: a Review

Overview

Journal Br Med J

Specialty General Medicine

Date 1980 Sep 20

PMID 7000278

Citations 8

Authors

C A Clyne

Affiliations

Soon will be listed here.

Abstract

Although the outlook for a pronounced improvement in the ischaemic limb that cannot be surgically treated remains bleak, cessation of smoking, encouragement of exercise, and the withdrawal of vasoconstricting agents may give some symptomatic relief. There is little evidence that vasodilators or antiplatelet agents have much to offer.

Citing Articles

Diehm C, Heidrich H, Spengel F, Schulte K, Theiss W Internist (Berl). 2017; 41(12):1416-1422.

PMID: 28550333 DOI: 10.1007/s001080050709.

Access to heart surgery for smokers. Inform, don't punish.

Mullick S BMJ. 1993; 306(6889):1409.

PMID: 8518617 PMC: 1677796. DOI: 10.1136/bmj.306.6889.1409-a.

Review of general surgery 1980.

Ellis H Postgrad Med J. 1981; 57(668):341-57.

PMID: 7029502 PMC: 2424898. DOI: 10.1136/pgmj.57.668.341.

Conservative management of femoral artery thrombosis.

Wooster D, Louch R Can Med Assoc J. 1984; 130(4):338-40.

PMID: 6692218 PMC: 1876081.

Current therapy for intermittent claudication.

Verstraete M Drugs. 1982; 24(3):240-7.

PMID: 6215241 DOI: 10.2165/00003495-198224030-00004.

References

Bouhoutsos J, Morris T, Chavatzas D, MARTIN P . The influence of haemoglobin and platelet levels on the results of arterial surgery. Br J Surg. 1974; 61(12):984-6. DOI: 10.1002/bjs.1800611215. View

ENGER S, Herbjornsen K, Erikssen J, Fretland A . High density lipoproteins (HDL) and physical activity: the influence of physical exercise, age and smoking on HDL-cholesterol and the HDL-/total cholesterol ratio. Scand J Clin Lab Invest. 1977; 37(3):251-5. DOI: 10.3109/00365517709091490. View

Trayner I, Mannarino E, Clyne C, Thompson G . Serum lipids and high density lipoprotein cholesterol in peripheral vascular disease. Br J Surg. 1980; 67(7):497-9. DOI: 10.1002/bjs.1800670715. View

McMichael J . Fats and atheroma: an inquest. Br Med J. 1979; 1(6157):173-5. PMC: 1597573. DOI: 10.1136/bmj.1.6157.173. View

Herxheimer A . Circulatory effects of nicotine aerosol inhalations and cigarette smoking in man. Lancet. 1967; 2(7519):754-5. DOI: 10.1016/s0140-6736(67)91950-2. View

Dahllof A, Bjorntorp P, Holm J, Schersten T . Metabolic activity of skeletal muscle in patients with peripheral arterial insufficiency. Eur J Clin Invest. 1974; 4(1):9-15. DOI: 10.1111/j.1365-2362.1974.tb00365.x. View

Hughson W, Mann J, Tibbs D, Woods H, Walton I . Intermittent claudication: factors determining outcome. Br Med J. 1978; 1(6124):1377-9. PMC: 1604795. DOI: 10.1136/bmj.1.6124.1377. View

Dormandy J . Influence of blood viscosity on blood flow and the effect of low molecular weight dextran. Br Med J. 1971; 4(5789):716-9. PMC: 1800035. DOI: 10.1136/bmj.4.5789.716. View

Dormandy J, Hoare E, Postlethwaite J . Blood viscosity of patients with intermittent claudication--concept of "rheological claudication". Biorheology. 1976; 13(3):161-4. DOI: 10.3233/bir-1976-13302. View

10.

Jonason T, Jonzon B, Ringqvist I . Effect of physical training on different categories of patients with intermittent claudication. Acta Med Scand. 1979; 206(4):253-8. DOI: 10.1111/j.0954-6820.1979.tb13506.x. View

11.

Merrill E, COKELET G, Britten A, WELLS Jr R . NON-NEWTONIAN RHEOLOGY OF HUMAN BLOOD--EFFECT OF FIBRINOGEN DEDUCED BY "SUBTRACTION". Circ Res. 1963; 13:48-55. DOI: 10.1161/01.res.13.1.48. View

12.

Dodds A, OReilly M, Yates C, COTTON L, FLUTE P, Dormandy J . Haemorrheological response to plasma exchange in Raynaud's syndrome. Br Med J. 1979; 2(6199):1186-87. PMC: 1597235. DOI: 10.1136/bmj.2.6199.1186. View

13.

St Leger A, Cochrane A, Moore F . Factors associated with cardiac mortality in developed countries with particular reference to the consumption of wine. Lancet. 1979; 1(8124):1017-20. DOI: 10.1016/s0140-6736(79)92765-x. View

14.

Ainsworth J, ROSE S . The arteriographic appearances following the use of intra-arterial vasodilator agents in occlusive arterial disease. Clin Radiol. 1967; 18(4):439-44. DOI: 10.1016/s0009-9260(67)80057-6. View

15.

Dintenfass L . Elevation of blood viscosity, aggregation of red cells, haematocrit values and fibrinogen levels with cigarette smokers. Med J Aust. 1975; 1(20):617-20. View

16.

McGrath M, Penny R . Paraproteinemia: blood hyperviscosity and clinical manifestations. J Clin Invest. 1976; 58(5):1155-62. PMC: 333283. DOI: 10.1172/JCI108568. View

17.

Barndt Jr R, Blankenhorn D, Crawford D, Brooks S . Regression and progression of early femoral atherosclerosis in treated hyperlipoproteinemic patients. Ann Intern Med. 1977; 86(2):139-46. DOI: 10.7326/0003-4819-86-2-139. View

18.

Gruntzig A, SENNING A, SIEGENTHALER W . Nonoperative dilatation of coronary-artery stenosis: percutaneous transluminal coronary angioplasty. N Engl J Med. 1979; 301(2):61-8. DOI: 10.1056/NEJM197907123010201. View

19.

Dormandy J, Hoare E, Colley J, Arrowsmith D, Dormandy T . Clinical, haemodynamic, rheological, and biochemical findings in 126 patients with intermittent claudication. Br Med J. 1973; 4(5892):576-81. PMC: 1587739. DOI: 10.1136/bmj.4.5892.576. View

20.

Hansteen V, Lorentsen E . Induced hypertension in the treatment of severe ischemia of the foot. Circulation. 1972; 46(5):976-82. DOI: 10.1161/01.cir.46.5.976. View