Approximately 25% of patients with multilevel arterial occlusive disease will require both inflow and outflow revascularization in order to successfully resolve their symptoms of lower limb ischemia. The preoperative selection of patients for multilevel concurrent arterial reconstruction is guided by symptoms, information from the noninvasive vascular laboratory, the predicted postoperative ABI, and detailed multiview angiography including pull-back intraarterial pressure measurements. Properly selected patients will benefit from a carefully planned and expeditiously performed simultaneous revascularization. Current results indicate no significant increase in operative morbidity or mortality rates and excellent graft patency rates with these combined procedures.
|Original language||English (US)|
|Number of pages||8|
|Journal||Seminars in Vascular Surgery|
|State||Published - Jan 1 1994|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine