Critical Limb Ischemia: Acute and Chronic

Front Cover
Robert S. Dieter, Raymond A. Dieter, Jr, Raymond A. Dieter, III, Aravinda Nanjundappa
Springer, Oct 26, 2016 - Medical - 671 pages

This book provides a comprehensive overview of acute and chronic critical limb ischemia (CLI). Loss of an extremity, or a portion thereof, is not necessarily a life-ending process, but it is a debilitating experience whether involvement is of the upper or lower extremity. It reviews the epidemiology, pathophysiology, etiology, physical examination, imaging modalities, diagnosis, and treatment of limb ischemia. It investigates the most frequent as well as the more unusual etiological processes that may lead to the most dreaded concern of patients and families: amputation. The therapeutics of CLI has been significantly advanced through the multidisciplinary approach to the patient and disease, a focus that is explored in detail throughout the book. Surgical and endovascular treatment guidelines as well as medical therapy, wound healing, and long-term care are discussed. Featuring an extensive illustration program, Critical Limb Ischemia: Acute and Chronic, is a valuable resource for vascular and endovascular surgeons, vascular medicine specialists, interventional radiologists, and cardiologists.

 

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Contents

Vascular Issues in Thermal Injury
337
Diabetic Foot
349
Critical Limb Ischemia and the Angiosome Model
367
Principles of Endovascular Treatment of Critical Limb Ischemia
373
Endovascular Technologies for Chronic Critical Limb Ischemia
387
Surgical Revascularization of Chronic Limb Ischemia
413
Importance of Pedal Arch in Treatment of Critical Limb Ischaemia
426
Endovascular and Thrombolytic Therapy for Upper and Lower Extremity Acute Limb Ischemia
441

Overlap of Atherosclerotic Disease
71
Differential Diagnosis of Upper Extremity Ischemia
79
Differential Diagnosis for Lower Extremity Ischemia and Ulcerations Focus on Nonatherosclerotic Etiologies
94
Cardiac Causes of Acute and Chronic Limb Ischemia
109
Progression of Peripheral Artery Disease to Critical Limb Ischemia
121
Basic Science of Wound Healing
130
Diagnostic Approach to Chronic Critical Limb Ischemia
137
Diagnostic Approach to Acute Limb Ischemia
159
CT Evaluation of Critical Limb Ischemia
171
Magnetic Resonance Imaging in Acute and Chronic Limb Ischemia
183
Noninvasive Imaging in Critical Limb Ischemia
199
Invasive Imaging in Critical Limb Ischemia
211
Vascular Trauma to the Extremity Diagnosis and Management
216
Iatrogenic Extremity Ischemia with the Potential for Amputation
241
Thromboangiitis Obliterans
248
Critical Ischemia in Patients with Raynauds Phenomenon
257
Hypercoagulable Conditions Leading to Limb Ischemia
267
Vasculitis
279
Cholesterol Emboli
292
Venous Etiologies of Acute Limb Ischemia
305
Malignant and Benign TumorInduced Critical Limb Ischemia
323
Frostbite
332
Surgical Treatment for Acute Limb Ischemia
450
Sympathectomy Revisited Current Status in the Management of Critical Limb Ischemia
459
Spinal Cord Stimulation
465
Omental Transplant for Revascularization in Critical Ischemic Limbs and Tissues
469
Hyperbaric Oxygen Therapy for Critical Limb Ischemia
482
Gene and Cell Therapy for Critical Limb Ischemia
491
Lower Extremity Ulceration Evaluation and Care
502
Diagnosis and Management of Wound Infections
517
Wound Care Maggot Debridement Therapy
531
Medical Therapy for Critical Limb Ischemia
536
Endocrine Considerations in Critical Limb Ischemia
543
Renal Considerations in Critical Limb Ischemia
561
Upper Extremity Amputation
571
Amputations in the Foot and Ankle
587
Major Amputation of the Lower Extremity for Critical Limb Ischemia
603
Extremity Replantation or Transplantation
618
The Importance of a Multidisciplinary Approach to Leg Ulcers
625
Appropriate Endpoints for Chronic Limb Ischemia
629
Economic Burden of Chronic Critical Limb Ischemia
637
The LongTerm Care of Patients with Critical Limb Ischemia CLI
640
Index
651
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About the author (2016)

Robert S. Dieter, MD, RVT

Loyola University Medical Center

Maywood, IL, USA

Edward Hines, Jr. VA Hospital

Hines, IL, USA

Raymond A. Dieter Jr., MD, MS

Northwestern Medicine

Central DuPage Hospital

Glen Ellyn, IL, USA

Raymond A. Dieter, III, MD

The University of Tennessee Medical Center

Knoxville, TN, USA


Aravinda Nanjundappa, MD, RVT

West Virginia University

Charleston, WV, USA

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