The role of extraanatomic exclusion bypass in the treatment of disseminated atheroembolism syndrome.

Abstract:

:We treated six patients with disseminated atheroembolism complicated by severe and unremitting pain from bilateral foot lesions. All patients had multiple and severe medical risk factors. One patient had a recent myocardial infarction, six patients had renal failure, and three were undergoing hemodialysis. Definitive aortic reconstruction was therefore precluded. After failing a course of medical therapy, each patient was treated with axillobifemoral bypass with exclusion-ligation of the external iliac arteries. Healing of foot wounds occurred in 11 of 12 limbs at risk, with one below-knee amputation required for progressive forefoot necrosis. In 12 patients with severe cardiopulmonary disease and limited life expectancy, exclusion-ligation bypass is an effective and safe palliative procedure for severe disseminated atheroembolism.

journal_name

Ann Vasc Surg

authors

Kaufman JL,Saifi J,Chang BB,Shah DM,Leather RP

doi

10.1007/BF02009454

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

260-3

issue

3

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(07)60051-X

journal_volume

4

pub_type

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