Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Revascularization or amputation.

A H Boontje

    Prosthetics and Orthotics International
    |April 1, 1979
    PubMed
    Summary

    Choosing between leg revascularization and amputation for critical limb ischemia involves numerous factors. Vascular surgeons play a key role in determining the optimal treatment strategy for limb salvage.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Thromboendarterectomy for obstructive disease of the common iliac artery.

    Cardiovascular surgery (London, England)·1996
    Same author

    Aneurysm formation in modified human umbilical vein grafts.

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·1996
    Same author

    Results of vascular reconstructions for atherosclerotic arterial occlusive disease of the lower limbs in young adults.

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·1995
    Same author

    Carotid endarterectomy without a temporary indwelling shunt: results and analysis of back pressure measurements.

    Cardiovascular surgery (London, England)·1994
    Same author

    External carotid artery revascularization: indications, operative techniques and results.

    The Journal of cardiovascular surgery·1992
    Same author

    Unilateral iliofemoral occlusive disease: long-term results of the semi-closed endarterectomy with the ring-stripper.

    Journal of vascular surgery·1991

    Area of Science:

    • Vascular Surgery
    • Limb Salvage Procedures
    • Peripheral Arterial Disease Management

    Background:

    • Severe leg ischemia presents complex treatment decisions.
    • Factors influencing revascularization versus amputation are numerous and interrelated.
    • Patient condition, gangrene extent, and surgical feasibility are critical considerations.

    Purpose of the Study:

    • To outline the decision-making process for revascularization versus amputation in ischemic legs.
    • To emphasize the primary role of arterial reconstruction for limb salvage.
    • To define the criteria for selecting patients for revascularization or amputation.

    Main Methods:

    • Review of factors influencing treatment choice for ischemic legs.
    • Evaluation of patient-specific variables including general condition and life expectancy.
    • Assessment of technical aspects of arterial reconstruction and surgical expertise.

    Main Results:

    • Arterial reconstruction is the preferred initial approach for limb salvage in severe leg ischemia.
    • If reconstruction is not feasible, amputation level (below-knee or above-knee) and timing must be carefully determined.
    • Integrated management by a vascular surgeon ensures optimal patient outcomes.

    Conclusions:

    • Vascular surgeons should lead the decision-making for revascularization or amputation.
    • Comprehensive evaluation by a vascular specialist is crucial for ischemic leg management.
    • Unified responsibility for patient selection and procedural choice optimizes limb salvage outcomes.

    Related Experiment Videos