Peripheral arterial disease classification: Difference between revisions
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Peripheral artery occlusive disease is commonly divided in the Fontaine stages, introduced by Dr René Fontaine in 1954<ref>{{cite journal | author=Fontaine R, Kim M, Kieny R | title=Die chirugische Behandlung der peripheren Durchblutungsstörungen. (Surgical treatment of peripheral circulation disorders) | journal=Helvetica Chirurgica Acta | year=1954 | volume=21 | issue=5/6 | pages=499–533 | language=German | pmid=14366554}}</ref> | Peripheral artery occlusive disease is commonly divided in the Fontaine stages, introduced by Dr René Fontaine in 1954<ref>{{cite journal | author=Fontaine R, Kim M, Kieny R | title=Die chirugische Behandlung der peripheren Durchblutungsstörungen. (Surgical treatment of peripheral circulation disorders) | journal=Helvetica Chirurgica Acta | year=1954 | volume=21 | issue=5/6 | pages=499–533 | language=German | pmid=14366554}}</ref> | ||
==Classification== | ==Classification== | ||
===Fontaine Stages=== | |||
Peripheral artery occlusive disease is commonly divided in the Fontaine stages, introduced by Dr René Fontaine in 1954:<ref>{{cite journal | author=Fontaine R, Kim M, Kieny R | title=Die chirugische Behandlung der peripheren Durchblutungsstörungen. (Surgical treatment of peripheral circulation disorders) | journal=Helvetica Chirurgica Acta | year=1954 | volume=21 | issue=5/6 | pages=499–533 | language=German | pmid=14366554}}</ref> | Peripheral artery occlusive disease is commonly divided in the Fontaine stages, introduced by Dr René Fontaine in 1954:<ref>{{cite journal | author=Fontaine R, Kim M, Kieny R | title=Die chirugische Behandlung der peripheren Durchblutungsstörungen. (Surgical treatment of peripheral circulation disorders) | journal=Helvetica Chirurgica Acta | year=1954 | volume=21 | issue=5/6 | pages=499–533 | language=German | pmid=14366554}}</ref> | ||
* I: mild | * Stage I: asymptomatic | ||
* II: severe | * Stage II a: mild [[claudication]] | ||
* III: pain | * Stage II b: moderate to severe [[claudication]] for relatively shorter distances | ||
* IV: [[biological tissue|tissue]] loss ([[gangrene]]) | * Stage III: ischemia rest pain | ||
* Stage IV: ulceration or [[biological tissue|tissue]] loss ([[gangrene]]) | |||
===Rutherford Categories=== | |||
* Grade 0, Category 0: asymptomatic | |||
* Grade I, Category 1: mild [[claudication]] | |||
* Grade I, Category 2: moderate [[claudication]] | |||
* Grade I, Category 3: severe [[claudication]] | |||
* Grade II, Category 4: ischaemia rest pain | |||
* Grade III, Category 5: minor tissue loss | |||
* Grade IV, Category 6: major tissue loss. | |||
;Shown below is an image showing the difference between Fontaine's and Rutherford's classification. | |||
[[Image:Classification of PAD.jpg|thumb|500px|center|Classification of PAD]] | [[Image:Classification of PAD.jpg|thumb|500px|center|Classification of PAD]] | ||
===Classification Used in American College of Cardiology/American Heart Association (ACC/AHA) Practice Guidelines=== | |||
*Asymptomatic | |||
*Claudication | |||
*Critical limb ischaemia | |||
*Acute limb ischaemia | |||
==References== | ==References== | ||
Revision as of 14:16, 31 October 2012
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Peripheral arterial disease Microchapters |
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Differentiating Peripheral arterial disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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AHA/ACC Guidelines on Management of Lower Extremity PAD |
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Guidelines for Structured Exercise Therapy for Lower Extremity PAD |
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Guidelines for Minimizing Tissue Loss in Lower Extremity PAD |
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Guidelines for Revascularization of Claudication in Lower Extremity PAD |
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Guidelines for Management of Acute Limb Ischemial in Lower Extremity PAD |
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Guidelines for Longitudinal Follow-up for Lower Extremity PAD |
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Peripheral arterial disease classification On the Web |
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American Roentgen Ray Society Images of Peripheral arterial disease classification |
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Directions to Hospitals Treating Peripheral arterial disease |
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Risk calculators and risk factors for Peripheral arterial disease classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Peripheral artery occlusive disease is commonly divided in the Fontaine stages, introduced by Dr René Fontaine in 1954[1]
Classification
Fontaine Stages
Peripheral artery occlusive disease is commonly divided in the Fontaine stages, introduced by Dr René Fontaine in 1954:[2]
- Stage I: asymptomatic
- Stage II a: mild claudication
- Stage II b: moderate to severe claudication for relatively shorter distances
- Stage III: ischemia rest pain
- Stage IV: ulceration or tissue loss (gangrene)
Rutherford Categories
- Grade 0, Category 0: asymptomatic
- Grade I, Category 1: mild claudication
- Grade I, Category 2: moderate claudication
- Grade I, Category 3: severe claudication
- Grade II, Category 4: ischaemia rest pain
- Grade III, Category 5: minor tissue loss
- Grade IV, Category 6: major tissue loss.
- Shown below is an image showing the difference between Fontaine's and Rutherford's classification.
Classification Used in American College of Cardiology/American Heart Association (ACC/AHA) Practice Guidelines
- Asymptomatic
- Claudication
- Critical limb ischaemia
- Acute limb ischaemia
References
- ↑ Fontaine R, Kim M, Kieny R (1954). "Die chirugische Behandlung der peripheren Durchblutungsstörungen. (Surgical treatment of peripheral circulation disorders)". Helvetica Chirurgica Acta (in German). 21 (5/6): 499&ndash, 533. PMID 14366554.
- ↑ Fontaine R, Kim M, Kieny R (1954). "Die chirugische Behandlung der peripheren Durchblutungsstörungen. (Surgical treatment of peripheral circulation disorders)". Helvetica Chirurgica Acta (in German). 21 (5/6): 499&ndash, 533. PMID 14366554.