Critical Limb Ischemia: Diagnosis and Treatment: An Interdisciplinary Approach

ISBN-13: 9783798509689 / Angielski / Miękka / 1995 / 240 str.

Svante Horsch; S. Horsch; L. Claeys

Opis

This text provides an integrated, up-to-date discussion of the complex field of diagnosis and management of chronic critical limb ischaemia. The diagnosis and treatment of CCLI involves different specialists, including vascular surgeons and radiologists, all of whose interests are represented here.

Spis treści

Epidemiology of critical limb ischemia.- Definition, incidence and epidemiology of critical limb ischemia.- Natural history and evolution of peripheral arterial disease.- Patient prognosis with critical limb ischemia: an update of 164 patients.- Conservative management of critical limb ischemia.- Investigation and management of patients with chronic critical limb ischemia due to peripheral arterial occlusive disease.- The role of Prostaglandin E1 in patients with critical leg ischemia.- Antithrombotic therapy in chronic leg arterial disease.- Hemodilution in patients with peripheral obstructive arterial disease.- Assessment of microcirculation.- Assessment of the microcirculation by videocapillaroscopy in patients with critical limb ischemia.- Angioplasty.- Percutaneous transluminal angioplasty for crural obliterations.- Complications during and after percutaneous transluminal angioplasty (PTA) of iliac and peripheral arteries.- Efficacy and tolerance of recombinant tissue-type plasminogen activator in patients with thrombotic or embolic occlusion of leg-arteries.- Angioplasty and combined procedures.- Below-knee excimer laser angioplasty associated with femoropopliteal bypass grafting.- Single-stage angioplasty and vascular reconstruction.- Combined endoluminal and surgical vascular reconstructions.- Simultaneous endovascular procedures in chronic and acute ischemia.- Bilateral critical limb ischemia in the elderly high-risk patient: an alternative for aortobifemoral bypass: combination of iliac artery intravascular stent with femoro-femoral cross-over bypass.- Distal reconstruction.- Bypasses to isolated popliteal artery.- Principles of infragenicular vascular reconstruction in patients with critical limb ischemia.- In situ vein bypass for critical limb ischemia.- Results of pedal and plantar reconstruction.- Critical limb ischemia — does the limb salvage rate justify the time-consuming reconstruction of pedal arteries?.- Venous allografts for critical limb ischemia.- Cryopreserved homologous saphenous veins in femorodistal arterial reconstructions.- Femorodistal reconstruction with the PTFE graft.- Surveillance of infrainguinal arterial reconstructions: importance of duplex-derived peak systolic velocity and ankle brachial index in femorodistal graft assessment.- Homologous vein grafts in femoropopliteal reconstruction: an over 10-year experience.- Surgical strategy after failed peripheral bypass surgery.- Local thrombolysis for occluded arterial grafts: Is the yield worth the effort?.- Plastic reconstructive surgery in patients with end-stage peripheral arterial disease.- Management of the diabetic foot.- Amputation in the dysvascular patient: techniques and levels.- Epidural spinal cord stimulation in the treatment of non-reconstructible peripheral occlusive disease (PAOD).