Lower Limb Arterial Insufficiency

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Aortobifemoral Graft
Axillofemoral graft
Femoral-femoral Crossover Graft
Femoropoliteal Graft
Femoropopliteal PTFE graft

History

Assess

  • severity
    • claudication distance
    • can walk through pain?
    • affects on lifestyle / work
    • how rapidly progressing
  • response to conservative methods
    • stopping smoking
    • weight loss

Examination

  • Peripheral Vascular System
    • absent pulses
      • if femoral present then likely to be distal pathology
      • if femoral absent then may be aorto-iliac disease

Treatment

 

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