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Vascular Medicine
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Pain description in patients with isolated proximal (without distal) exercise-related lower limb arterial ischemia

Vincent Jacquinandi

Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France

Philippe Bouyé

Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France

Jean Picquet

Chirurgie cardiovasculaire et thoracique, Centre Hospitalier Universitaire, Angers, France

Georges Leftheriotis

Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France

Jean-Louis Saumet

Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France

Pierre Abraham

Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France, Piabraham{at}chu-angers.fr

Among the last 250 claudicants referred to the laboratory for transcutaneous oxygen pressure recording at exercise, we analyzed the symptoms reported by the 36 patients who showed isolated proximal (without distal) ischemia. Among the symptomatic proximal sites cited by these patients, the hip and thigh represent 60%, whereas the buttock is cited in fewer than 25% of cases. Buttock symptoms are reported in only 31% of symptomatic patients. ‘Buttock’ claudication is probably not the dominant symptom in isolated proximal vascular ischemia. Assessing proximal lower limb ischemia through the sole detection of ‘buttock pain’ could contribute to the underestimation of proximal vascular ischemia.

Key Words: buttocks • claudication • diagnosis • pain • peripheral arterial disease

Vascular Medicine, Vol. 9, No. 4, 261-265 (2004)
DOI: 10.1191/1358863x04vm560oa
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