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Arterial re-plumbing

Discussion in 'Diabetic Foot & Wound Management' started by Simon Spooner, Dec 14, 2007.


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    All,

    Please excuse my ignorance as an expert on vascular surgery I am not.

    A new patient presented today who during the inital history taking explained she had recently undergone surgery in which vessels had been grafted into her abdomen and legs (what she described sounded like replacement iliacs + femoral arteries) in order to save her legs from amputation??? Her sister had already undergone bilateral amputation.

    Can anyone give details on this procedure please? Forces and moments I know, this kinda stuff and I'm all at sea again.

    Craig, is this CPD in action or what?:) It's very easy reading about the things we like, but we should really read about the things we don't- note to self: read more on PVD
     
  2. Craig Payne

    Craig Payne Moderator

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    Sounds like a fem-ped bypass. Arterial disease in diabetes has a tendency to more severely affect the tibial vessels (comapred to non-DM PVD) and spare the foot vessels, so a bypass from the femoral artery to the foot is being done with increasing frequency and increasing success.
     
  3. Admin2

    Admin2 Administrator Staff Member

    PVD and ground reaction forces
    Related threads:
    Peripheral Vascular Disease: Diagnosis and Treatment
    Growth of new cells in PVD
    Screening for PVD in diabetes
    Laser therapy for PVD in diabetes
    Exercise for intermittent claudication
    Accupressure for peripheral vascuar disease
    PVD can be masked by neurological and orthopaedic diseases
     
  4. My hero. Looked pretty good to me. One slightly suspect looking area on the tip of the hallux though- seeing vascular surgeon on Monday! She also smelt of fags (cigarettes) which I thought was a nice touch.

    Can you give any more detail on procedure please?
     
  5. Craig Payne

    Craig Payne Moderator

    Articles:
    8
  6. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    I just went through the list of presentations and the one by Gary Gibbons on revascularisation is excellent (based on my speed scroll through the video)! ....I will show the students it next year!

    I loved this picture he used in an early slide:
    [​IMG]
     
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