| Lower extremity arterial occlusive disease. | |
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MedLine Citation:
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PMID: 1735064 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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H I Darvin; T A King |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinics in podiatric medicine and surgery Volume: 9 ISSN: 0891-8422 ISO Abbreviation: Clin Podiatr Med Surg Publication Date: 1992 Jan |
Date Detail:
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Created Date: 1992-03-12 Completed Date: 1992-03-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8604974 Medline TA: Clin Podiatr Med Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 69-77 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Mount Sinai Medical Center, Cleveland, Ohio. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arterial Occlusive Diseases*
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diagnosis,
etiology,
therapy Arteriosclerosis / diagnosis, etiology, therapy Humans Ischemia / diagnosis, therapy Leg / blood supply* Thromboembolism / diagnosis, etiology, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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