Document Detail

Lower extremity arterial occlusive disease.
MedLine Citation:
PMID:  1735064     Owner:  NLM     Status:  MEDLINE    
The clinician must first understand the natural history of chronic lower extremity ischemia before making a decision regarding therapeutic options. Clearly, mild ischemia as evidenced by claudication does not place the patient at significant risk for limb loss. Initial conservative treatment emphasizing abstinence from tobacco products, control of underlying medical maladies, and an exercise program, along with patient reassurance, will adequately treat the majority of claudicators. When ischemia is present, patient education regarding foot care and avoidance of trauma are beneficial. Limb-threatening ischemia often requires revascularization. Adequate preoperative cardiologic evaluation and intraoperative monitoring have greatly reduced the morbidity and mortality of arterial reconstruction. Selection of the appropriate recipient vessel and bypass conduit enables limb salvage, whereas amputation would have been performed just a few years ago. Continued analysis of treatment outcomes will further define appropriate intervention in the future.
H I Darvin; T A King
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in podiatric medicine and surgery     Volume:  9     ISSN:  0891-8422     ISO Abbreviation:  Clin Podiatr Med Surg     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-03-12     Completed Date:  1992-03-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8604974     Medline TA:  Clin Podiatr Med Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  69-77     Citation Subset:  IM    
Division of Vascular Surgery, Mount Sinai Medical Center, Cleveland, Ohio.
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MeSH Terms
Arterial Occlusive Diseases* / diagnosis,  etiology,  therapy
Arteriosclerosis / diagnosis,  etiology,  therapy
Ischemia / diagnosis,  therapy
Leg / blood supply*
Thromboembolism / diagnosis,  etiology,  therapy

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