Surgical revascularization of critical ischemia of lower limbs: current guidelines and personal experience

Background Peripheral arterial occlusive disease (PAOD) of lower extremities has been attributed primarily to atherosclerotic changes and the risk factor associated with atherosclerotic disease, including smoking, male gender, hypercholesterolemia, diabetes and age. The prevalence of CLI in general population as an adjusted rate of 3-5%. Critical limb ischemia is the most debilitating symptom of PAOD. The rational treatment of the CLI is surgery or endovascular approach. The present study was performed to determine the outcome of infrainguinal by-pass a popliteo-to-distal by-pass surgery for limb salvage in the treatment of the critical limb ischemia. Result of lower extremity by-pass surgery have traditionally been assessed by patency rate , uncomplicated wound healing, limb salvage, and patient survival rate.