Talk:Peripheral artery disease

message: Shouldn't ABI be Ankle Brachial Index? — Preceding unsigned comment added by 147.10.111.201 (talk) 00:26, 8 January 2005 (UTC)
replies: text: Yes, it should. I have corrected it. Axl 22:40, 3 Jun 2005 (UTC)

text: That seems like a less common name. I would prefer to rename the whole article PAD for Peripheral Arterial Diease. — Preceding unsigned comment added by Bakerstmd (talk • contribs) 21:41, 6 March 2014 (UTC)
thread_title: Shouldn't

message: The medical management of PAOD was recently reviewed: . JFW | T@lk 21:04, 4 July 2006 (UTC)
thread_title:  Systematic review 

message: The 5-stage Fontaine staging mentioned in the article is not one I've ever seen before. As far as I know the common Fontaine stages (at least here in Europe) are:
Fontaine I: asymptomatic
Fontaine II: intermittent claudication (sometimes subdivided in IIa: intermittent claudication without impairment or max walking distance >200m and IIb: with impairment or max.walk.dist <200m)
Fontaine III: nightly or rest pain
Fontaine IV: tissue loss (necrosis or non-healing ulcers). 
--- Arthurs 11:15, 30 December 2006 (UTC)
replies: text: An even more recent paper includes infection and wound scores in predicting limb loss. See . There are lots of classification schema.Bakerstmd (talk) 21:49, 6 March 2014 (UTC)
thread_title:  Fontaine Stages 

message: of the lower extremity arteries does not seem to be covered in the  PAD articles including this one. 
What are the results of such surgeries?  (infections; residue from shaving plaque; clogging; scar clogging; time span of the improvement of such action; especially where the waist down clogging is extensive, is there really potential for substantial improvement;  like several years for example?  apparently not--improvement is minimal at best or such things would be discussed!)
The results of usage of the Foxhollow System referred to in a footnote to this article is not covered or is any of the other "drilling methods".  Why is this not covered in this article?  Why are the dark secrets not discussed?
Pugetkid 09:32, 4 June 2007 (UTC)
thread_title: Problems with Mechanical Drilling

message: I do these various tests and diagnosis for a living.  And I just wanted to tell people some various things.
1)  If you do not have REPEATABLE pain with walking you do not have claudication.  Claudication is not a on again off again symptom.  It will happen every time.
2)  Numbness is not a symptom.  Numbness is a nerve problem.  If you circulation is so bad that you have numbness in your extremities, that indicates that the circulation is so bad that the nerves have died.  In which case you will have accompaning tissue loss.
3)  The chances of being able to do angioplasty to repair this is low.  Also the length or time for repair with angioplasty is also low.
4)  CT as a diagnostic tool is hardly ever used.  The only time I know of is when someone is alleragic to the dye used during angioplasty.  And with recient advances is ultrsaound we're moving away from even using it for that.
5)  The fox method is also hardely ever used (in my area at least),  There is a very specific visualiztion that will alow this procedure to be used.  Chances are you will need a bypass.
—Preceding unsigned comment added by Bloodsage (talk • contribs) 09:38, 29 July 2007
:Thank you! Can you please help me change the article to reflect these key aspects? Bakerstmd (talk) 21:51, 6 March 2014 (UTC)
thread_title:  Notes from a professional 

message: http://jama.ama-assn.org/cgi/content/abstract/301/4/415 - studies don't say for certain which imaging modality is best. JFW | T@lk 20:41, 28 January 2009 (UTC)
thread_title:  CT angiography 

message: "Prevention of foot failure: ketchup on the bottom of your feet."
Er, what???  —Preceding unsigned comment added by 65.161.188.11 (talk) 08:37, 5 February 2010 (UTC)
thread_title:  Therapy 

message: AHA recommended that the name of the syndrome should be peripheral artery disease (PAD) just like the coronary artery disease (CAD).  Don't you guys think that we need to acknowledge the recommendation accordingly and talk more about PAD?  —Preceding unsigned comment added by Aceofhearts1968 (talk • contribs) 17:05, 8 June 2010 (UTC)
replies: text: I rather agree. I work in the US (have worked in PVD/PAD surgery in CA, IL and MA) and PVD is indeed usually referred to as PAD. Bakerstmd (talk) 21:40, 6 March 2014 (UTC)
thread_title: NEW AHA recommendation

message: Shouldn't be the title 'Peripheral arterial disease (PAD)' and 'Peripheral vascular disease' redirects to the first? 
I think the term 'vascular disease' could confuse arterial disease with varicose veins or even lymphedema.  — Preceding unsigned comment added by 193.144.99.21 (talk) 14:15, 5 April 2014 (UTC)
replies: text: I agree. Can we generate some consensus about moving this page to peripheral artery disease BakerStMD T|C 21:50, 21 November 2014 (UTC)

text: (Thanks to a helpful admin)  BakerStMD T|C 16:48, 13 January 2015 (UTC)
thread_title: Title

message: What do you think about to find a more 'typical' ischemic ulcer, like that: 
http://www.globalskinatlas.com/imagedetail.cfm?TopLevelid=456&ImageID=1320&did=6 or
http://www.globalskinatlas.com/imagedetail.cfm?TopLevelid=1220&ImageID=2886&did=458
The one in the page suggest another concomitant causes as venous insufficiency and arterial hypertension 
Is difficult to find one picture with an explicit consent of the patient. — Preceding unsigned comment added by 193.144.99.21 (talk) 14:22, 5 April 2014 (UTC)
replies: text: I agree. That image looks like venous rather than arterial disease to me. Next time I see a patient with a good typical arterial ulcer I'll ask if I can take a picture and upload it :p BakerStMD T|C 16:49, 13 January 2015 (UTC)
replies: text: Still needs a better picture. A toe ulcer would be ideal. The current image doesn't look typical: foot is too pink, plus the ulcer is bleeding. BakerStMD 13:34, 27 April 2018 (UTC)
thread_title: Image

message: doi:10.1161/CIRCULATIONAHA.114.011021
Circulation, basically a secondary source that says there aren't many good trials. JFW | T@lk 00:23, 12 November 2014 (UTC)
thread_title:  Trials 

message: There really isn't anything at Rest pain. I propose that it be merged with PAD in the signs and symptoms section.  BakerStMD T|C 21:49, 13 January 2015 (UTC)
replies: text: I'd just redirect that here, to be honest. JFW | T@lk 23:43, 14 January 2015 (UTC)
replies: text: . BakerStMD T|C 23:59, 14 January 2015 (UTC)
thread_title:  Merge rest pain with PAD 

message: From a request for peer reivew on the wp:med talk page:
Thought about requesting a formal peer review for Peripheral artery disease, but thought I'd ask here first. From people not too involved, what needs work? I think this might be a B-class article. Would like to bring it to GA, as is High importance. BakerStMD 03:28, 7 April 2015 (UTC)
replies: text: in terms of references, 12,21,22,23,25-29,30,32,34,35,37-40,42,43,47,48 are non-MEDRS compliant (they are well beyond five years for a review), you might want to look for newer reviews for those...references #20, #33, are both primary sources and should be replaced with reviews. thank you--Ozzie10aaaa (talk) 12:52, 7 April 2015 (UTC)
thread_title:  Citations to improve 

message: doi:10.1056/NEJMcp1507631 JFW | T@lk 00:39, 4 March 2016 (UTC)
thread_title:  NEJM 

message: Evidence base is not great for choice of agents doi:10.1161/CIRCULATIONAHA.117.024469 JFW | T@lk 09:41, 21 June 2017 (UTC)
thread_title:  Antithrombotics after surgery 

message: doi:10.1056/NEJMcp1709326 JFW | T@lk 08:12, 12 July 2018 (UTC)
thread_title:  Chronic limb ischemia 

message: First of all, I wanted to compliment the flow and organization of the article. It has all of the main sections that it needs to give the reader a good understanding of peripheral artery disease. The article is also very thorough and it looks like the edits you have made have made the article even more thorough and complete. You did a great job making the signs and symptoms section easy to read, especially for non-medical readers. The rest of the article doesn't get bogged down in medical jargon either. Although, the diagnostic tests section may be overwhelming for a non-medical reader. I wonder if a simple table or graphic to show the ABI values and their significance could help it be easier on the eyes.
The article appears neutral and balanced. And it looks like you're doing a great job of using secondary sources without creating any bias or making claims without citations. It looks like there's a few paragraphs (first 2 paragraphs of signs and symptoms, first paragraph of diagnosis) where the same source is being used for the entire paragraph but only cited once. I understand that the information is all coming from that one source, but it might be safer to cite several times throughout the paragraphs. The revascularization subheader of the treatment section might need a few more citations at the end of the paragraph as well. But it seems like you're using up-to-date sources that are not biased to cite the information.
Overall, this article looks like it's coming together. Last thing, I saw in your work plan that you were planning to add pathophysiology and mechanism to the causes section. I think that would be a great addition to the article and really bring it to the next level of thoroughness. Great work!!
Cwa200 (talk) 15:04, 10 December 2018 (UTC)
thread_title:  Peer Review