Physical Examination and Chronic Lower-Extremity Ischemia

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Physical examination and chronic lower-extremity ischemia: a critical review.

OBJECTIVE To determine the clinical utility of physical examination in patients with suspected chronic ischemia of the lower extremities. DATA SOURCES MEDLINE search (January 1966 to January 1997), personal files, and bibliographies of textbooks on physical diagnosis, surgery, and vascular surgery. STUDY SELECTION Both authors independently graded the studies as level 1, 2, or 3, according ...

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Chronic lower extremity ischemia: a human model of ischemic tolerance.

BACKGROUND Ischemic preconditioning (IPC) has been found in animals to have a protective effect against future ischemic injury to muscle tissue. Such injury is unavoidable during some surgical procedures. To determine whether chronic ischemia in the lower extremities would imitate IPC and reduce ischemic injury during vascular surgery, we designed a controlled clinical study. PATIENTS AND MET...

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Combined percutaneous endovascular iliac angioplasty and infrainguinal surgical revascularization for chronic lower extremity ischemia: preliminary result.

The purpose of this study was to evaluate the efficacy of combined ipsilateral percutaneous iliac angioplasty and open infrainguinal surgical techniques for the treatment of patients with multilevel arterial occlusive disease. Combining two types of approaches in the peripheral vascular field is a less aggressive technique and may result in excellent early patency and limb salvage rates. We rep...

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Successful pharmacologic treatment of lower extremity ulcerations in 5 patients with chronic critical limb ischemia.

BACKGROUND Ischemic ulcerations of the distal lower extremities are a manifestation of chronic critical limb ischemia. Without restoration of arterial flow, subsequent gangrene and limb loss can ensue. Unfortunately, revascularization is not always possible. METHODS A literature search of MEDLINE was performed and a case series of 5 patients with lower extremity ischemic ulcerations is descri...

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Cardiac risk factors of revascularization in chronic atherosclerotic lower extremity ischemia

PURPOSE To identify the risk factors of major adverse cardiac event (MACE) in patients with chronic atherosclerotic lower extremity ischemia (CALEI) undergoing revascularization without noninvasive stress testing (NIST). METHODS From January 2007 to January 2012, patients with CALEI who underwent revascularization were retrospectively reviewed. Emergent operations, revision procedures for pre...

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ژورنال

عنوان ژورنال: Archives of Internal Medicine

سال: 1998

ISSN: 0003-9926

DOI: 10.1001/archinte.158.12.1357