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Surgical Management: Open Surgical Treatment of Infra-Inguinal Occlusive Disease

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Limb Salvage of the Diabetic Foot

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Abstract

Infra-inguinal occlusive disease in diabetic and non-diabetic patients without treatment carries a significant risk of minor and major amputation as well as death. There are different modalities in treating peripheral arterial disease including bypass surgery and angioplasty. Several investigations have studied the outcomes in both modalities. Hybrid techniques using different revascularisation strategies have also been used especially in complex and redo- cases.

In this chapter the authors are addressing the different diagnostic modalities in critical leg ischaemia and the planning of surgical treatment in these patients. The outcome of distal and ultra-distal bypass surgery in the literature is also examined and the means of improving bypass outcome and follow-up are highlighted. Finally the role of arterial bypass and other modalities is briefly discussed in the treatment of acute lower limb ischaemia.

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Authors and Affiliations

  1. Department of Vascular Surgery, King’s College Hospital Foundation Trust, London, UK

    Hisham Rashid, Raghvinder Gambhir & Hani Slim

Authors
  1. Hisham Rashid
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  2. Raghvinder Gambhir
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  3. Hani Slim
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Corresponding author

Correspondence to Hisham Rashid .

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Editors and Affiliations

  1. King’s College Hospital, London, UK

    Michael E. Edmonds

  2. School of Medicine, Yale University, New Haven, CT, USA

    Bauer E. Sumpio

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Rashid, H., Gambhir, R., Slim, H. (2019). Surgical Management: Open Surgical Treatment of Infra-Inguinal Occlusive Disease. In: Edmonds, M., Sumpio, B. (eds) Limb Salvage of the Diabetic Foot. Springer, Cham. https://doi.org/10.1007/978-3-319-17918-6_24

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  • DOI: https://doi.org/10.1007/978-3-319-17918-6_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17917-9

  • Online ISBN: 978-3-319-17918-6

  • eBook Packages: MedicineMedicine (R0)

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