Diabetes & Peripheral Arterial Disease:

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Key RoleTake Home Massage:Role of General Physicians in theManagement of PADEarly detection of asymptomatic / atypical disease inhigh-risk patients (e.g. DM)ABI screening (diagnosis & prognosis)Initiate risk reduction therapy (A to H)Patient EducationEarly referral for critical limb ischemia
Public & Physician Awareness ofPeripheral Arterial Disease in HongKong:A cross-sectional sectional SurveyPrincipal Investigator: Bryan YanSurvey Objectives• Obtain baseline data to quantify public knowledge of thecauses (risk factors), symptoms, and ischemic risks - tolife and limb - of PAD• Results intended to serve as a benchmark so thatimprovements in awareness can be documented over time• To direct public education programs to raise PADawareness
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Diabetes &Peripheral Arterial Disea
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Atherosclerosis is aSystemic Diseas
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PAD : Survival Curve1.000.75NormalS
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Impact on Quality of Life↓ Walkin
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Common Risk Factors for PAD*◄Less
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Prevalence of PAD in DMPAD is 20x m
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Tragic “Rule of 15”15% DM15% fo
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Problem with PAD isUnderdiagnosed &
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Clinical Presentations of PADClassi
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Critical Limb Ischaemia (CLI)Chroni
Page 22 and 23: Relying on classic history ofclaudi
Page 24 and 25: • Colour• Deformities• Ulcer
Page 26 and 27: Are you at risk for Peripheral Arte
Page 28 and 29: Ankle Brachial Index (ABI)ABI =Lowe
Page 30 and 31: Interpretation of the ABIInterpreta
Page 33 and 34: Who should be screened with ABI?1.
Page 35 and 36: MRA & CTAPlanning forrevascularizat
Page 37 and 38: PAD Treatment GoalsImproveFunctiona
Page 39 and 40: Conservative TreatmentA- anti-plate
Page 41 and 42: Cilostazol (Pletaal)Antiplateletact
Page 43 and 44: Prevention of Amputation in DMRegul
Page 45 and 46: 60M, smoker, DM, lipid, CAD, CVA,bi
Page 47 and 48: Surgical Morbidity & MortalityWound
Page 49 and 50: Advantages of EndovascularTreatment
Page 51 and 52: Limb Salvage for CLIAvoid / Limit a
Page 53 and 54: Changing pattern ofrevascularizatio
Page 55: 74M, DM, Smoker, 1mth infected foot
Page 61 and 62: Ray amputation same admissionMeticu
Page 63 and 64: NO!
Page 65 and 66: SFA Compressive Forces: StentFractu
Page 67: “Fracture Resistant” SE Stents1
Page 70 and 71: Which Patients to Refer?Difficult D
Page 74: Save a Leg . . . Save a LifeThank Y
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