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Home Management of Iliac Artery Occlusive Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Adult. Nonsmoker, sedentary lifestyle. Left lower-extremity claudication on walking, asymmetrically diminished left femoral pulse. No symptoms at rest. Initial management. 3198461
Best medical management including supervised exercise program only


Usually appropriate
Risk factor analysis and lipid profile and ABIs


Usually appropriate
Antiplatelet adjunctive therapy


Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA abdomen and pelvis with bilateral lower extremity runoff with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
MRA abdomen and pelvis with bilateral lower extremity runoff with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Plethysmography and pulse volume recording


May be appropriate
Catheter-directed angiography


Usually not appropriate
Anticoagulation adjunctive therapy


Usually not appropriate