Document Detail


Surgical reconstructions in peripheral arterial occlusive disease.
MedLine Citation:
PMID:  19998252     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prognosis of patients suffering from peripheral arterial occlusive disease (PAD) is directly correlated with the severity of the disease. In critically ischemic legs, after one year only 50% will be alive with a preserved leg. The other 50% will die or undergo an amputation during this time. Reconstructive surgery is highly effective in PAD caused by extensive arterial lesions. Depending on the localization of the occlusion, operative procedures range from local desobliteration to profundoplasty and from aortofemoral to femorodistal bypass procedures. Especially in critical ischemia, time is of the essence for limb salvage. Evidence-based data for diagnosis and operative treatment are described in detail. Only the consequent use of these critical techniques can improve the prognosis of these patients.
Authors:
E S Debus; C Lohrenz; H Diener; M S Winkler; A Larena-Avellaneda
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  38     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-09     Completed Date:  2010-02-04     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  317-33     Citation Subset:  IM    
Affiliation:
Klinik und Poliklinik für Gefässmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg- Eppendorf, Germany.
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MeSH Terms
Descriptor/Qualifier:
Amputation
Arterial Occlusive Diseases / complications,  physiopathology,  surgery*
Constriction, Pathologic
Humans
Ischemia / etiology,  physiopathology,  surgery*
Limb Salvage
Lower Extremity / blood supply*
Peripheral Vascular Diseases / complications,  physiopathology,  surgery*
Regional Blood Flow
Reoperation
Severity of Illness Index
Time Factors
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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