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Critical Leg Ischaemia. Edition No. 1

VDM Publishing House, Oct 2008, Pages: 108


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Critical leg ischaemia is a manifestation of the
atherosclerotic disease and reflects the state of the
whole vascular tree. If no prodromal symptoms have
been present, critical leg ischaemia may be difficult
to distinguish from other complaints with similar
symptoms. This study will show that up to one third
of patients may experience critical leg ischaemia as
the first manifestation of vascular disease. This
should be taken into consideration both in the
clinical assessment and epidemiological estimations.
Critical leg ischaemia has a very poor prognosis. If
surgical, or endovascular, improvement of the blood
supply to the leg is not provided in due course, half
of the legs will be amputated within a year. One of
the main goals of vascular surgery is to prevent
major amputations in order to enable the patients to
keep their independence and mobility for their
remaining lifetime. In order to avoid unnecessary
amputations, it is important to direct sufficient
vascular treatment on time to those patients
potentially benefiting from reconstructive measures.



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