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. 2022 Sep 25;15(3):165–174. doi: 10.3400/avd.ra.22-00035

Table 2 Potential management or treatment for frailty and sarcopenia.

Category Subcategory Potential management or treatment for frailty and sarcopenia References
Exercise Cardiac rehabilitation Perioperative CR may improve postoperative physical mobility, functional capacity, fall prevention, and disability prevention. 73), 80), 81)
Nutrition Nutrition management Patients with vascular diseases have malnutrition or hypoalbuminemia, which results in poor postoperative clinical outcomes. Therefore, perioperative aggressive nutritional management is mandatory to improve clinical outcomes. 75), 76), 77), 78), 79), 80), 81)
Amino acids Supplementation with amino acids achieves a better body composition and physical activity in elderly patients with frailty or sarcopenia. 82)
Medication Vitamin D Vitamin D has the potential not only to prevent falls, but also to increase muscle strength. 84), 85)
Carnitine L-carnitine supplementation for frail patients alters their functional status and attenuates fatigue. 89)
Surgery EVT EVT by a minimally invasive approach prevents declines in postoperative ADL. 92)
Hybrid approach A hybrid approach by combined open surgery and EVT may be useful for high-risk cohorts complicated by vascular disease or with extended vascular disease. 90), 91), 92), 93)
Vascular team approach Vascular team Multidisciplinary care for chronic CLI involving vascular, plastic, and podiatric surgeons improved amputation-free survival. A vascular team approach has the potential to enhance quality of care, improve clinical outcomes, and reduce costs. 95), 96), 97)
Vascular nursing Vascular nursing may provide comprehensive and optimal care, and achieve better postoperative outcomes. 98)

EVT: endovascular therapy; CR: cardiac rehabilitation; ADL: activity of daily living; CLI: critical limb ischemia