TITLE

The Therapy of Peripheral Vascular Ulcers -- Surgical Management

AUTHOR(S)
Lirn, Leonardo T.; Michuda, Maryanne; Bergan, John J.
PUB. DATE
September 1978
SOURCE
Angiology;Sep1978, Vol. 29 Issue 9, p654
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The article focuses on the therapy of peripheral vascular ulcers. Unlike arterial ischemic ulcers caused by arteriosclerotic occlusive disease, venous ulcers, though comprising 90% of ulcers in the leg, are less understood, often disregarded and considered a poor second cousin to the arterial side. Forty to fifty per cent of venous ulcers are principally caused by post-thrombotic deep venous and perforator vein incompetence. The remainder are due to primary incompetence of the perforating veins and long-standing primary varicose veins with incompetent perforators. It has been shown by recent non-invasive studies that over half of the patients with deep venous thrombosis are asymptomatic and of those with leg symptoms only 50% will be positive.
ACCESSION #
16386135

 

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