منابع مشابه
[Critical limb ischemia].
Chronic critical limb ischemia is defined as ischemia which generally endangers the distal part of a limb. If the ischemia is unrelenting, there is a high risk that amputation will be required. These critical limbs were amputated as an initial treatment long ago. Now it becomes clear that disabling patients have very poor quality of life after major amputation, and ischemic leg produces noxious...
متن کاملChronic critical limb ischemia.
BACKGROUND Some 40 000 lower limb amputations are performed in Germany each year, 70% of them in diabetics. About 80% of all major amputations may be preventable with the use of new interventional and vascular surgical procedures, particularly on the arteries of the leg and foot. We present the current state of the art in revascularization techniques and evaluate their usefulness for preservati...
متن کاملCritical Limb Ischemia
Critical limb ischemia (CLI), defined as chronic ischemic rest pain, ulcers, or gangrene attributable to objectively proven arterial occlusive disease, is the most advanced form of peripheral arterial disease. Traditionally, open surgical bypass was the only effective treatment strategy for limb revascularization in this patient population. However, during the past decade, the introduction and ...
متن کاملCritical limb ischemia.
Critical limb ischemia (CLI) continues to be a significantly morbid disease process for the aging population. Rigid guidelines for the management of patients with CLI are inappropriate due to the complexities that are involved in optimally treating these patients. A thin line exists in the decision process between medical management vs surgical management by revascularization or amputation, and...
متن کاملFootnotes on critical limb ischemia.
n this issue of the Journal, Guzman et al. (1) investigate a ovel approach for identifying patients at risk for amputaion secondary to peripheral arterial disease. This study is he first to use multidetector computed tomography to uantify tibial artery calcification (TAC). The authors dvance the hypothesis that TAC is a measure of the everity of below the knee atherosclerotic disease much in he...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2017
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2017.09.012