| [ Summary ] |
The incidence of peripheral artery disease (PAD) is high among patients undergoing dialysis and can relate to poor outcomes. Screening using the ankle-brachial index (ABI) and appropriate foot-care is indispensable for early detection of PAD because some dialysis patients do not experience typical symptoms noted with PAD. Management for PAD includes diverse strategies and involves a comprehensive plan, which includes lifestyle modification, medications, rehabilitation, endovascular or surgical re-vascularization, low-density lipoprotein apheresis, and wound therapies. Although amputation is considered when patients experience refractory infection or pain, survival rates in those undergoing amputation are much worse compared to those without amputation. Aims of management of PAD are improvement of survival, quality of life, and limb salvage. |