脈管疾患の画像診断と機能診断　臨床にどう活かす　間歇性跛行の治療方針─機能的診断法と画像診断を用いて

正木 久男; 田淵 篤; 柚木 靖弘; 久保 裕司; 久保 陽司; 滝内 宏樹; 西川 幸作; 三村 太亮; 渡部 芳子; 種本 和雄

doi:10.7133/jca.52.321

Original Article

Therapeutic Strategy for Claudicants: Functional Diagnostic Method and Imaging Diagnostic Procedure

Hisao Masaki, Atsushi Tabuchi, Yasuhiro Yunoki, Hiroshi Kubo, Youji Kubo, Hiroki Takiuchi, Kousaku Nishikawa, Daisuke Mimura, Yoshiko Watanabe, Kazuo Tanemoto

Author information

Hisao Masaki
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Atsushi Tabuchi
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Yasuhiro Yunoki
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Hiroshi Kubo
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Youji Kubo
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Hiroki Takiuchi
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Kousaku Nishikawa
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Daisuke Mimura
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Yoshiko Watanabe
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan
Kazuo Tanemoto
Division of Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School, Okayama, Japan

Keywords: intermittent claudication, recovery time, walking exercise therapy, endovascular therapy, surgical arterial reconstruction

JOURNAL OPEN ACCESS

2012 Volume 52 Issue October Pages 321-325

DOI https://doi.org/10.7133/jca.52.321

Details

Abstract

The functional and imaging diagnostic method were performed for intermittent claudicants. FormPWV/ABI^® was used with a treadmill test for 341 patients. The treadmill test was performed with a 12% slope at a speed of 2.4 km/hr for three minutes. The time until the ABI returned to pre-exercise values (recovery time; RT) was measured. Walking exercise therapy including pharmacotherapy was effective for 26 of 29 cases with an RT of less than 10 minutes. In conclusion, we believe that walking exercise therapy should be selected for cases with an RT of less than 10 minutes, followed by endovascular surgery and that the surgical arterial reconstruction should follow such therapy for cases with an RT of more than 10 minutes.

Corresponding author

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