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Peripheral artery disease (PAD) has always been overshadowed by its high-profile cousin, coronary artery disease. Now, as the number of costly endovascular interventions has soared nationally, PAD treatment is being scrutinized. In a field where clinical evidence is sparse, a flurry of questions is being asked: When does endovascular therapy make more sense for patients than surgical bypass? When PAD progresses to its most severe form—critical limb ischemia (CLI)—how do the financial and societal costs of revascularization compare with amputating the limb? Could early detection and treatment of PAD save lives and limbs, and perhaps a bundle of healthcare dollars?

Evidence needed, across the PAD spectrum

A pert 80-year-old woman walked into the office of Darren Schneider...

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