Skip to main content
SpringerLink
Log in

Claudicatio intermittens

  • Chapter
  • First Online:
Evidenzbasierte Gefäßchirurgie

  • 2448 Accesses

Zusammenfassung

Patienten mit Claudicatio intermittens sollen primär einer überwachten Übungstherapie zugeführt werden. Die endovaskuläre Behandlung wird in Betracht gezogen, wenn die Bewegungstherapie zu keiner befriedigenden Besserung der Symptome geführt hat. Der offene chirurgische Eingriff steht an dritter Stelle der Behandlungsoptionen, wenn die anderen Behandlungsverfahren logistisch oder technisch nicht machbar sind bzw. nicht erfolgreich waren.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Aihara H, Soga Y, Mii S, Okazaki J, Yamaoka T, Kamoi D, Shintani Y, Ishikawa T; RECANALISE Registry Investigators (2014) Comparison of long-term outcome after endovascular therapy versus bypass surgery in claudication patients with Trans-Atlantic Inter-Society Consensus-II C and D femoropopliteal disease. Circ J 78: 457–464

    Article  PubMed  Google Scholar 

  • Al-Jundi W, Madbak K, Beard JD, Nawaz S, Tew GA (2013) Systematic review of home-based exercise programmes for individuals with intermittent claudication. Eur J Vasc Endovasc Surg 46: 690–706

    Article  CAS  PubMed  Google Scholar 

  • Ambler GK, Radwan R, Hayes PD, Twine CP (2014) Atherectomy for peripheral arterial disease. Cochrane Database Syst 3: CD006680

    Google Scholar 

  • Anderson JL, Halperin JL, Albert NM et al (2013) Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 127: 1425–1443

    Article  PubMed  Google Scholar 

  • Andras A, Hansrani M, Stewart M, Stansby G (2014) Intravascular brachytherapy for peripheral vascular disease. Cochrane Database Syst Rev: CD003504

    Google Scholar 

  • Bø E, Hisdal J, Cvancarova M, Stranden E, Jørgensen JJ, Sandbæk G, Grøtta OJ, Bergland A (2013) Twelve-months follow-up of supervised exercise after percutaneous transluminal angioplasty for intermittent claudication: a randomised clinical trial. Int J Environ Res Public Health 10: 5998–6014

    Article  PubMed Central  PubMed  Google Scholar 

  • Chowdhury MM, McLain AD, Twine CP (2014) Angioplasty versus bare metal stenting for superficial femoral artery lesions. Cochrane Database Syst Rev: CD006767

    Google Scholar 

  • Conte MS, Pomposelli FB, Clair DG et al; Society for Vascular Surgery Lower Extremity Guidelines Writing Group (2015) Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication. J Vasc Surg 61 (3 Suppl): 2S–41S

    Google Scholar 

  • Deutsche Gesellschaft für Angiologie – Gesellschaft für Gefäßmedizin (2009) Leitlinien zur Diagnostik und Therapie der peripheren arteriellen Verschlusskrankheit (PAVK). AWMF-Register Nr. 065/003. http://www.awmf-online.de/[wird zzt. aktualisiert]

  • Eugster T, Marti R, Gurke L, Stierli P (2011) Ten years after arterial bypass surgery for claudication: venous bypass is the primary procedure for TASC C and D lesions. World J Surg 35: 2328–2331

    Article  PubMed  Google Scholar 

  • European Stroke Organisation, Tendera M, Aboyans V, Bartelink ML et al; ESC Committee for Practice Guidelines (2011) ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J 32: 2851–2906

    Google Scholar 

  • Fakhry F, Rouwet EV, den Hoed PT, Hunink MG, Spronk S (2013) Long-term clinical effectiveness of supervised exercise therapy versus endovascular revascularization for intermittent claudication from a randomized clinical trial. Br J Surg 100: 1164–1171

    Article  CAS  PubMed  Google Scholar 

  • Fokkenrood HJ, Bendermacher BL, Lauret GJ, Willigendael EM, Prins MH, Teijink JA (2013) Supervised exercise therapy versus non-supervised exercise therapy for intermittent claudication. Cochrane Database Syst Rev: CD005263

    Google Scholar 

  • Fokkenrood HJ, Lauret GJ, Verhofstad N, Bendermacher BL, Scheltinga MR, Teijink JA (2015) The effect of supervised exercise therapy on physical activity and ambulatory activities in patients with intermittent claudication. Eur J Vasc Endovasc Surg 49: 184–191

    Article  CAS  PubMed  Google Scholar 

  • Frans FA, Bipat S, Reekers JA, Legemate DA, Koelemay MJ (2012) Systematic review of exercise training or percutaneous transluminal angioplasty for intermittent claudication. Br J Surg 99: 16–28

    Article  CAS  PubMed  Google Scholar 

  • Gardner AW, Parker DE, Montgomery PS, Blevins SM (2014) Diabetic women are poor responders to exercise rehabilitation in the treatment of claudication. J Vasc Surg 59: 1036–43

    Article  PubMed Central  PubMed  Google Scholar 

  • Gardner AW, Parker DE, Montgomery PS, Scott KJ, Blevins SM (2011) Efficacy of quantified home-based exercise and supervised exercise in patients with intermittent claudication: a randomized controlled trial. Circulation 123: 491–498

    Article  PubMed Central  PubMed  Google Scholar 

  • Gommans LN, Fokkenrood HJ, van Dalen HC, Scheltinga MR, Teijink JA, Peters RJ (2015) Safety of supervised exercise therapy in patients with intermittent claudication. J Vasc Surg 61: 512–518

    Article  PubMed  Google Scholar 

  • Gommans LN, Saarloos R, Scheltinga MR, Houterman S, de Bie RA, Fokkenrood HJ, Teijink JA (2014) Editor‘s choice – The effect of supervision on walking distance in patients with intermittent claudication: a meta-analysis. Eur J Vasc Endovasc Surg 48: 169–184

    Article  CAS  PubMed  Google Scholar 

  • Herten M, Torsello GB, Schönefeld E, Imm B, Osada N, Stahlhoff S (2015) Drug-eluting balloons for femoropopliteal lesions show better performance in de novo stenosis or occlusion than in restenosis. J Vasc Surg 61: 394–399

    Article  PubMed  Google Scholar 

  • Jens S, Conijn AP, Koelemay MJ, Bipat S, Reekers JA (2014) Randomized trials for endovascular treatment of infrainguinal arterial disease: systematic review and meta-analysis (Part 1: Above the knee). Eur J Vasc Endovasc Surg 47: 524–535

    Article  CAS  PubMed  Google Scholar 

  • Katsanos K, Spiliopoulos S, Karunanithy N, Krokidis M, Sabharwal T, Taylor P (2014) Bayesian network meta-analysis of nitinol stents, covered stents, drug-eluting stents, and drug-coated balloons in the femoropopliteal artery. J Vasc Surg 59: 1123–1133

    Article  PubMed  Google Scholar 

  • Kruidenier LM, Nicolaï SP, Rouwet EV, Peters RJ, Prins MH, Teijink JA (2011) Additional supervised exercise therapy after a percutaneous vascular intervention for peripheral arterial disease: a randomized clinical trial. J Vasc Interv Radiol 22: 961–968

    Article  PubMed  Google Scholar 

  • Laird JR, Katzen BT, Scheinert D et al; RESILIENT Investigators (2012) Nitinol stent implantation vs. balloon angioplasty for lesions in the superficial femoral and proximal popliteal arteries of patients with claudication: three-year follow-up from the RESILIENT randomized trial. J Endovasc Ther 19: 1–9

    Google Scholar 

  • Lane R, Ellis B, Watson L, Leng GC (2014) Exercise for intermittent claudication. Cochrane Database Syst Rev: CD000990

    Google Scholar 

  • Lauret GJ, Fakhry F, Fokkenrood HJ, Hunink MG, Teijink JA, Spronk S (2014) Modes of exercise training for intermittent claudication. Cochrane Database Syst Rev: CD009638

    Google Scholar 

  • Lauret GJ, van Dalen HC, Hendriks HJ, van Sterkenburg SM, Koelemay MJ, Zeebregts CJ, Peters RJ, Teijink JA (2012) When is supervised exercise therapy considered useful in peripheral arterial occlusive disease? A nationwide survey among vascular surgeons. Eur J Vasc Endovasc Surg 43: 308–312

    Article  CAS  PubMed  Google Scholar 

  • Lindgren H, Gottsäter A, Qvarfordt P, Bergman S, Troëng T (2014) Invasive treatment for infrainguinal claudication has satisfactory 1 year outcome in three out of four patients: a population-based analysis from Swedvasc. Eur J Vasc Endovasc Surg 47: 615–620

    Article  CAS  PubMed  Google Scholar 

  • Malgor RD, Alalahdab F, Elraiyah TA et al (2015) A systematic review of treatment of intermittent claudication in the lower extremities. J Vasc Surg 61 (3S): 54S–73S

    Google Scholar 

  • Mazari FA, Khan JA, Carradice D, Samuel N, Gohil R, McCollum PT, Chetter IC (2013) Economic analysis of a randomized trial of percutaneous angioplasty, supervised exercise or combined treatment for intermittent claudication due to femoropopliteal arterial disease. Br J Surg 100: 1172–1179

    Article  CAS  PubMed  Google Scholar 

  • Müller-Bühl U, Engeser P, Leutgeb R, Szecsenyi J (2012) Low attendance of patients with intermittent claudication in a German community-based walking exercise program. Int Angiol 31: 271–275

    PubMed  Google Scholar 

  • Murphy TP, Cutlip DE, Regensteiner JG et al (2012) Supervised exercise versus primary stenting for claudication resulting from aortoiliac peripheral artery disease: six-month outcomes from the claudication: exercise versus endoluminal revascularization (CLEVER) study. Circulation 125: 130–139

    Article  PubMed Central  PubMed  Google Scholar 

  • National Clinical Guideline Centre (2012) Lower limb peripheral arterial disease. Diagnosis and management. NICE Clinical Guideline 147. Methods, evidence and recommendations. http://www.nice.org.uk/guidance/cg147/resources/cg147-lower-limb-peripheral-arterial-disease-full-guideline3

  • Nicolaï SP, Teijink JA, Prins MH; Exercise Therapy in Peripheral Arterial Disease Study Group (2010) Multicenter randomized clinical trial of supervised exercise therapy with or without feedback versus walking advice for intermittent claudication. J Vasc Surg 52: 348–355

    Article  PubMed  Google Scholar 

  • Nordanstig J, Gelin J, Hensäter M, Taft C, Österberg K, Jivegård L (2011) Walking performance and health-related quality of life after surgical or endovascular invasive versus non-invasive treatment for intermittent claudication – a prospective randomised trial. Eur J Vasc Endovasc Surg 42: 220–227

    Article  CAS  PubMed  Google Scholar 

  • Nordanstig J, Smidfelt K, Langenskiöld M, Kragsterman B (2013) Nationwide experience of cardio- and cerebrovascular complications during infrainguinal endovascular intervention for peripheral arterial disease and acute limb ischaemia. Eur J Vasc Endovasc Surg 45: 270–274

    Article  CAS  PubMed  Google Scholar 

  • Nordanstig J, Taft C, Hensäter M, Perlander A, Osterberg K, Jivegård L (2014) Improved quality of life after 1 year with an invasive versus a noninvasive treatment strategy in claudicants: one-year results of the Invasive Revascularization or Not in Intermittent Claudication (IRONIC) Trial. Circulation 130: 939–947

    Article  CAS  PubMed  Google Scholar 

  • Sachs T, Pomposelli F, Hamdan A, Wyers M, Schermerhorn M (2011) Trends in the national outcomes and costs for claudication and limb threatening ischemia: angioplasty vs bypass graft. J Vasc Surg 54: 1021–1031

    Article  PubMed  Google Scholar 

  • Saxton JM, Zwierska I, Blagojevic M, Choksy SA, Nawaz S, Pockley AG (2011) Upper- versus lower-limb aerobic exercise training on health-related quality of life in patients with symptomatic peripheral arterial disease. J Vasc Surg 53: 1265–1273

    Article  PubMed  Google Scholar 

  • Scali ST, Rzucidlo EM, Bjerke AA, Stone DH, Walsh DB, Goodney PP, Chang CK, Powell RJ (2011) Long-term results of open and endovascular revascularization of superficial femoral artery occlusive disease. J Vasc Surg 54: 714–721

    Article  PubMed  Google Scholar 

  • Shalhoub J, Hamish M, Davies AH (2009) Supervised exercise for intermittent claudication – an under-utilised tool. Ann R Coll Surg Engl 91: 473–476

    Article  PubMed Central  PubMed  Google Scholar 

  • Simons JP, Schanzer A, Nolan BW, Stone DH, Kalish JA, Cronenwett JL, Goodney PP; Vascular Study Group of New England (2012) Outcomes and practice patterns in patients undergoing lower extremity bypass. J Vasc Surg 55: 1629–1636

    Article  PubMed Central  PubMed  Google Scholar 

  • Simpson EL, Michaels JA, Thomas SM, Cantrell AJ (2013) Systematic review and meta-analysis of additional technologies to enhance angioplasty for infrainguinal peripheral arterial occlusive disease. Br J Surg 100: 1128–1137

    Article  CAS  PubMed  Google Scholar 

  • Siracuse JJ, Giles KA, Pomposelli FB, Hamdan AD, Wyers MC, Chaikof EL, Nedeau AE, Schermerhorn ML (2012) Results for primary bypass versus primary angioplasty/stent for intermittent claudication due to superficial femoral artery occlusive disease. J Vasc Surg 55: 1001–1007

    Article  PubMed Central  PubMed  Google Scholar 

  • Spafford C, Oakley C, Beard JD (2014) Randomized clinical trial comparing Nordic pole walking and a standard home exercise programme in patients with intermittent claudication. Br J Surg 101: 760–767

    Article  CAS  PubMed  Google Scholar 

  • Spronk S, Bosch JL, den Hoed PT, Veen HF, Pattynama PM, Hunink MG (2008) Cost-effectiveness of endovascular revascularization compared to supervised hospital-based exercise training in patients with intermittent claudication: a randomized controlled trial. J Vasc Surg 48: 1472–1480

    Article  PubMed  Google Scholar 

  • Tepe G, Laird J, Schneider P et al (2015) Drug-coated balloon versus standard percutaneous transluminal angioplasty for the treatment of superficial femoral and/or popliteal peripheral artery disease: 12-month results from the IN.PACT SFA randomized trial. Circulation 131: 495–502

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    E. Sebastian Debus

  2. ehem. Wissenschaftlich Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Deutschland

    Reinhart T. Grundmann

Authors
  1. E. Sebastian Debus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Reinhart T. Grundmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. Sebastian Debus .

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Debus, E., Grundmann, R. (2015). Claudicatio intermittens. In: Evidenzbasierte Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47167-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-47167-8_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47166-1

  • Online ISBN: 978-3-662-47167-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation