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 for severe limb ischemia

G D Perdue, R B Smith, C R Veazey

    Archives of Surgery (Chicago, Ill. : 1960)
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    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

    Results with abdominal vascular trauma in the modern era.

    The American surgeon·2001
    Same author

    Iliac vessel injury: operative physiology related to outcome.

    The Journal of trauma·1997
    Same author

    The role of surgeon-performed ultrasound in patients with possible cardiac wounds.

    Annals of surgery·1996
    Same author

    Hazmat handling field faces risks above and beyond chemical exposure.

    Occupational health & safety (Waco, Tex.)·1992
    Same author

    Bronchial trauma secondary to intubation with a PVC double-lumen tube.

    Journal of the Royal Society of Medicine·1992
    Same author

    Insulin dependent diabetes mellitus.

    The New Zealand medical journal·1992
    Same journal

    The White Test: A New Dye Test for Intraoperative Detection of Bile Leakage During Major Liver Resection-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Use of Vascular Clamping in Hepatic Surgery: Lessons Learned From 1260 Liver Resections-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Randomized Clinical Trial of Small-Incision and Laparoscopic Cholecystectomy in Patients With Symptomatic Cholecystolithiasis: Primary and Clinical Outcomes-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Liver Resection With a New Multiprobe Bipolar Radiofrequency Device-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Porcine and Bovine Surgical Products: Jewish, Muslim, and Hindu Perspectives-Invited Critique.

    Archives of surgery (Chicago, Ill. : 1960)·2017
    Same journal

    Neuroendocrine Liver Metastasis: Transplant as Part of Multimodality Liver-Directed Therapy-Reply.

    Archives of surgery (Chicago, Ill. : 1960)·2016
    See all related articles

    Revascularization surgery offers a high success rate for patients with critical limb ischemia, significantly improving limb salvage and long-term outcomes. This procedure is crucial for preventing amputation in extensive arterial disease.

    Area of Science:

    • Vascular Surgery
    • Peripheral Arterial Disease
    • Reconstructive Surgery

    Background:

    • Critical limb ischemia (CLI) presents a high risk of amputation.
    • Rest pain or tissue necrosis often indicates extensive occlusive disease and a tibial-brachial pressure index below 0.25.
    • Prompt revascularization is essential for limb preservation in CLI patients.

    Purpose of the Study:

    • To evaluate the effectiveness and durability of revascularization procedures in patients with extensive peripheral arterial disease.
    • To assess limb salvage and graft patency rates following surgical intervention for CLI.

    Main Methods:

    • Retrospective review of 359 patients undergoing revascularization for CLI.
    • Analysis of initial success rates, long-term limb preservation, and cumulative patency rates for different types of arterial reconstructions.

    Related Experiment Videos

    Main Results:

    • Revascularization was performed in 86% of reviewed patients, with an initial success rate of 92%.
    • Durable limb preservation was achieved in 90% of patients.
    • Five-year cumulative patency rates were 90% for aortofemoral, 70% for femoropopliteal, and 49% for femorotibial reconstructions.
    • Corresponding five-year limb salvage rates were 93%, 81%, and 67%.

    Conclusions:

    • Revascularization is a highly effective treatment for critical limb ischemia associated with extensive arterial disease.
    • Surgical intervention provides good long-term limb salvage and functional outcomes.
    • Graft durability varies by reconstruction type, with aortofemoral bypasses showing the highest patency rates.