Abstract |
We treated six patients with disseminated atheroembolism complicated by severe and unremitting pain from bilateral foot lesions. All patients had multiple and severe medical risk factors. One patient had a recent myocardial infarction, six patients had renal failure, and three were undergoing hemodialysis. Definitive aortic reconstruction was therefore precluded. After failing a course of medical therapy, each patient was treated with axillobifemoral bypass with exclusion- ligation of the external iliac arteries. Healing of foot wounds occurred in 11 of 12 limbs at risk, with one below-knee amputation required for progressive forefoot necrosis. In 12 patients with severe cardiopulmonary disease and limited life expectancy, exclusion- ligation bypass is an effective and safe palliative procedure for severe disseminated atheroembolism.
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Authors | J L Kaufman, J Saifi, B B Chang, D M Shah, R P Leather |
Journal | Annals of vascular surgery
(Ann Vasc Surg)
Vol. 4
Issue 3
Pg. 260-3
(May 1990)
ISSN: 0890-5096 [Print] Netherlands |
PMID | 1692730
(Publication Type: Journal Article)
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Topics |
- Aged
- Angiography
- Aorta, Abdominal
- Aorta, Thoracic
- Aortic Diseases
(complications, mortality)
- Arteriosclerosis
(complications, mortality)
- Axillary Artery
(surgery)
- Embolism
(diagnostic imaging, etiology, surgery)
- Femoral Artery
(surgery)
- Foot Diseases
(diagnostic imaging, etiology, surgery)
- Humans
- Iliac Artery
(surgery)
- Male
- Middle Aged
- Pain
(etiology)
- Palliative Care
- Prognosis
- Risk Factors
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