Peripheral Vascular Disease: Surgery vs. Endovascular

Vascular surgeon, Dr. Rabih Chaer, compares the endovascular approach to surgical revascularization in the treatment of peripheral vascular disease (PVD). The presentation concludes with the pros and cons of each approach in various clinical situations.

Educational objectives:

Upon completion of this activity, participants should be able to:

• Identify the best treatment for patients with PVD and critical limb ischemia
• Know the surgical bypass and endovascular rates of limb salvage
• Understand the role endovascular intervention can play in limb salvage

Reading Resources:

1. Expert Rev Med Devices. 2011 Jul;8(4):515-25. Endovascular repair of thoracic aortic pathology. Kiguchi M, Chaer RA. Source Division of Vascular Surgery, The University of Pittsburgh School of Medicine, A-1011 PUH/200 Lothrop Street, Pittsburgh, PA 15213, USA
2. J Vasc Surg. 2011 Sep;54(3):722-9. Epub 2011 Jul 30. Multilevel versus isolated endovascular tibial interventions for critical limb ischemia. Fernandez N, McEnaney R, Marone LK, Rhee RY, Leers S, Makaroun M, Chaer RA. Source Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
3. Hosp Pract (Minneap). 2011 Aug;39(3):62-70. Carotid angioplasty and stenting: evolution and current status. Celis R, Chaer RA. Source University of Pittsburgh Medical Center, Division of Vascular Surgery, Pittsburgh, PA, USA

Disclosures:

Dr. Chaer has no relevant relationships with any entities producing healthcare goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits^TM and self-assessment credits toward Part 2 of the ABS MOC Program. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.075) continuing education units (CEU) which are equivalent to 0.75 contact hours.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 2/16/2012 | Last Modified On: 12/2/2014 | Expires: 12/2/2015

This presentation was part of UPMC’s Update in Internal Medicine 2011: Evidence-Based Approaches to Common Medical Problems.