What is the role of surgery in the treatment of peripheral arterial occlusive disease (PAOD)?

Updated: Sep 12, 2019
  • Author: Josefina A Dominguez, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Surgical treatment options, typically reserved for patients with more severe disease or those in whom nonsurgical management fails, include the following:

  • Open bypass surgery
  • Endovascular therapy (eg, stenting, balloon angioplasty, or atherectomy)

Whereas open surgery dominated the treatment options two decades ago, endovascular management of PAOD has become exponentially more popular since then (see the image below). [22]

Peripheral arterial occlusive disease. Procedures Peripheral arterial occlusive disease. Procedures performed during acute admission for peripheral arterial disease in US from 1996 to 2005. Reprinted from Journal of Vascular Surgery, Vol 49(4), Rowe VL et al, Patterns of treatment for peripheral arterial disease in the United States: 1996-2005, Pages 910-7, Apr 2009, with permission from Elsevier.

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