TITLE

Vascular Reconstruction in the Diabetic Patient

AUTHOR(S)
Moore, Wesley S.; Malone, James M.
PUB. DATE
October 1978
SOURCE
Angiology;Oct1978, Vol. 29 Issue 10, p741
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The diabetic patient with large-vessel arterial occlusive disease is a relatively poor candidate for arterial reconstruction from the standpoint of late patency and survival. For this reason reconstructive procedures must be tempered by specific objectives and knowledge of the ultimate prognosis for the patient. Reconstruction is indicated when the anatomic distribution of disease favors long-term patency for treatment of claudication. The limitations on reconstruction may be less stringent if the indication for arterial reconstruction is limb salvage. Finally, one must recognize that a conservative amputation with expeditious prosthetic rehabilitation may be a better alternative for the diabetic patient than repeated arterial reconstruction with a poor likelihood of patency and perhaps further arterial compromise leading to a more drastic amputation.
ACCESSION #
16385137

 

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