Abstract
A measure for the success of vascular reconstructive surgery in patients with severe peripheral occlusive disease is the healing of the ulcers respectively the gangrene. In the state II–III according to FONTAINE a good therapeutical result first of all is estimated by an increase of the pain free walking distance. This improvement can take place un-specifically. There is no indispensable relation to the therapeutical procedures (Schoop, 1988). An increase of the ankle/brachial pressure index (doppler-index) (Marshall, 1984) is visible in most of the cases after surgery. But the doppler-index does not tell us anything about the improvement of microcirculation in sceletal muscles. Nevertheless this is the central point of all conservative and surgical efforts.
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References
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© 1989 Plenum Press, New York
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Krawzak, HW., Heinrich, R., Strosche, H. (1989). Development of Muscular Tissue PO2 After Vascular Reconstructive Surgery. In: Rakusan, K., Biro, G.P., Goldstick, T.K., Turek, Z. (eds) Oxygen Transport to Tissue XI. Advances in Experimental Medicine and Biology, vol 248. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5643-1_80
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DOI: https://doi.org/10.1007/978-1-4684-5643-1_80
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