Skip to main content

The Ischemic Lower Extremity

  • Chapter
Learning Surgery
  • 1484 Accesses

Summary

Lower leg ischemia as a manifestation of peripheral arterial disease is common. Frequently, it can be noninvasively diagnosed and conservatively managed. Patients, like the patient in our case, may present with acute ischemia and warrant more aggressive management. The level of intervention, however, always must be tailored to the overall condition of the patient. Given the presences of significant comorbidities in our patient, significant caution is warranted before embarking on aggressive surgical intervention. Fortunately, with the advent of less invasive endovascular techniques, vascular interventionalists have more and potentially safer options.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected Readings

  • Chew DE, Conte MS, Belkin M, et al. Arterial reconstruction for lower limb ischemia. Acta Chir Belg 2001;101(3):106–115.

    PubMed  CAS  Google Scholar 

  • Cikrit DF, Dalsing MC. Lower extremity arterial endovascular stenting. Surg Clin North Am 1998;78(4):617–629.

    Article  PubMed  CAS  Google Scholar 

  • Cronenwett JL, Warner KG, Zelenock GB, et al. Intermittent claudication. Current results of nonoperative management. Arch Surg 1984;119:430–436.

    PubMed  CAS  Google Scholar 

  • Dalman RL, Taylor LM Jr. Infrainguinal revascularization procedures. In: Porter JM, Taylor LM Jr, eds. Basic Data Underlying Clinical Decision Making in Vascular Surgery. St. Louis: Quality Medical, 1994:141–143.

    Google Scholar 

  • Kannel WB, Skinner JJ Jr, Schwartz MJ, Shurtleff D. Intermittent claudication. Incidence in the Framingham Study. Circulation 1970;875–883.

    Google Scholar 

  • Mills JL, Porter JM. Acute limb ischemia. In: Porter JM, Taylor LM Jr, eds. Basic Data Underlying Clinical Decision Making in Vascular Surgery. St. Louis: Quality Medical, 1994:134–136.

    Google Scholar 

  • Neschis DG, Golden MA. Arterial disease of the lower extremity. In: Norton JA, Bollinger RR, Chang AE, et al., eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001.

    Google Scholar 

  • Ouriel K, Veith FJ, Sasahara AA. A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. Thrombolysis or Peripheral Arterial Surgery (TOPAS) Investigators [see comments]. N Engl J Med 1998;338:1105–1111.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Science+Business Media, Inc.

About this chapter

Cite this chapter

Ciocca, R.G. (2005). The Ischemic Lower Extremity. In: Lowry, S.F., Ciocca, R.G., Rettie, C.S., Vodarsik, M. (eds) Learning Surgery. Springer, New York, NY . https://doi.org/10.1007/0-387-28310-2_28

Download citation

  • DOI: https://doi.org/10.1007/0-387-28310-2_28

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-22583-8

  • Online ISBN: 978-0-387-28310-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics