Hemodynamic assessment of combined aortoiliac/femoropopliteal occlusive disease and selection of single or multilevel revascularization

G. L. Moneta, R. A. Yeager, L. M. Taylor, J. M. Porter

    Research output: Contribution to journalReview articlepeer-review

    6 Scopus citations

    Abstract

    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 languageEnglish (US)
    Pages (from-to)3-10
    Number of pages8
    JournalSeminars in Vascular Surgery
    Volume7
    Issue number1
    StatePublished - Jan 1 1994

    ASJC Scopus subject areas

    • Surgery
    • Cardiology and Cardiovascular Medicine

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