Chronic limb ischemiaBy
Dr.Ahmed Abdul-Ameer Daffar
( ( Cardio-Thoracic & Vascular Surgeon
The end stage of vascular insufficiency is frank tissue infarction or gangrene.
Features of chronic ischemiaAbsent distal pulse
Physical ExaminationReduced ABI
Color duplex scanning
Conservative measuresControl of Hypertension, hyperlipidemia and D.M.
Graduated exercise program
Control of weight
Platelet inhibitors such as aspirin
Vasodilating agents such as tolazoline
Hemorrheologic agents such as pentoxifylline
Percutaneous Trans-luminal AngioplastyBypass surgery
Amputation ( last option )