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Home Management of Iliac Artery Occlusive Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Adult. Long history of claudication. Acute-onset left lower-extremity pain. Absent left femoral pulse by palpation, faint audible DP and PT Doppler signals. Initial management. 3198462
Anticoagulation adjunctive therapy


Usually appropriate
CTA abdomen and pelvis with bilateral lower extremity runoff with IV contrast
10-30 mSv
☢☢☢☢
Usually appropriate
Catheter-directed angiography


Usually appropriate
MRA abdomen and pelvis with bilateral lower extremity runoff with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Ankle brachial index


May be appropriate
Risk factor analysis and lipid profile


May be appropriate
Plethysmography and pulse volume recording


Usually not appropriate