Abstract
Although arterial insufficiency may be acute when occurring with an embolus, or chronic-caused by progressive arteriosclerotic obstructive disease, it is the chronic reduction in arterial perfusion that is responsible for most ischemic lesions of the leg. Furthermore, the extent of the occlusive disease spans the clinical spectrum from asymptomatic to functional to critical. Critical limb ischemia is the underlying cause of rest pain, digital gangrene, arterial ulcers and wounds. The relationship of arterial hypoperfusion to distal digital gangrene is well understood; in this chapter we present the role of arterial surgery in chronic wounds including post-traumatic and mixed venous-arterial ulcers.
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Lauterbach, S.R., Andros, G., Torres, G., Oblath, R.W. (2004). Surgery for Arterial Ulcers. In: Téot, L., Banwell, P.E., Ziegler, U.E. (eds) Surgery in Wounds. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59307-9_32
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DOI: https://doi.org/10.1007/978-3-642-59307-9_32
Publisher Name: Springer, Berlin, Heidelberg
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