[Chronic critical ischemia of the lower leg: pretherapeutic imaging and methods for revascularization]. / Die chronische kritische Unterschenkelischämie: prätherapeutische Diagnostik, Methoden der Revaskularisation.
Radiologe
; 46(11): 962-72, 2006 Nov.
Article
en De
| MEDLINE
| ID: mdl-17021909
ABSTRACT
Each year 1-2% of patients with peripheral arterial occlusive disease (pAOD) develop critical limb ischemia (CLI), characterized by rest pain and peripheral ulcer or gangrene. This aggravation of the disease is accompanied by an increase of the 1-year mortality rate up to 25% and a similarly increased frequency of major amputation. We can choose between conservative, endovascular, and surgical procedures for an adequate therapy of the underlying vascular stenoses or occlusions. Yet, clear therapeutic recommendations only exist for suprapopliteal lesions. However, in a number of cases, especially in diabetics, target lesions have an infrapopliteal location. Since endovascular procedures have undergone significant improvement in the last few years, the following review discusses methods for infrapopliteal revascularization taking into consideration the newest publications on this topic.
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Banco de datos:
MEDLINE
Asunto principal:
Arteria Poplítea
/
Enfermedades Vasculares Periféricas
/
Angioplastia
/
Isquemia
/
Pierna
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prognostic_studies
Límite:
Humans
Idioma:
De
Año:
2006
Tipo del documento:
Article