Abstract
The revascularization of patients with critical leg ischaemia (CLI) is essential for limb salvage and healing tissue loss. Both infrainguinal bypass surgery and angioplasty are established techniques in the treatment of these patients. The healing of tissue loss is dependent on several factors, but re-establishing direct blood flow is mandatory to achieve this process. The role of the pedal arch in the treatment of patients with CLI has not been fully studied. The quality of the pedal arch could impact on the ability of a successful revascularization in healing tissue loss, as well as the long-term durability of both surgical and radiological treatment of patients with CLI.
In this chapter the authors will address the importance of the pedal arch in the healing process of tissue loss in patients undergoing infrapopliteal bypass surgery and its impact on patency and major amputation rates in relation to the quality of the pedal arch. This will also be linked with the angiosome concept for revascularization which is also dependent on the quality of the pedal arch in achieving tissue loss healing.
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Slim, H., Khalil, E., Mistry, H., Gambhir, R.S., Valenti, D., Rashid, H. (2017). Importance of Pedal Arch in Treatment of Critical Limb Ischaemia. In: Dieter, R., Dieter, Jr, R., Dieter, III, R., Nanjundappa, A. (eds) Critical Limb Ischemia. Springer, Cham. https://doi.org/10.1007/978-3-319-31991-9_37
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DOI: https://doi.org/10.1007/978-3-319-31991-9_37
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