RT Book, Section
A1 Mouawad, Nicolas J.
A1 Nasif, Abdullah
A2 Nazzal, Munier
A2 Blebea, John
A2 Osman, Mohamed F.
SR Print(0)
ID 1200678093
T1 Acute Limb Ischemia
T2 Vascular and Endovascular Surgery: Clinical Diagnosis and Management
YR 2024
FD 2024
PB McGraw Hill
PP New York, NY
SN 9781260462715
LK accesssurgery.mhmedical.com/content.aspx?aid=1200678093
RD 2024/04/20
AB The  history  of  the  recognition  and  surgical  treatment  of  lower  limb  ischemia  dates  back  to  the  Middle  Ages.  The  twin  Saints  Comas  and  Damian  were  ascribed  to  have  saved  a  gangrenous  limb  in  the  thirteenth  century  and  became  patrons  of  future  surgeons.  The  physicians  who  followed  developed  the  theories  of  blood  flow,  anatomy  of  the  arterial  circulation,  and  recognition  that  occlusive  disease  was  the  cause  of  limb  ischemia  and  gangrene.  Innovative  physicians  developed  the  techniques  of  arterial  surgery  and  bypass  grafting  to  restore  limb  blood  flow  and  allow  the  healing  of  lesions.  In  the  1960s,  the  era  of  endovascular  intervention  began  through  the  pioneering  work  of  Charles  Dotter  who  developed  techniques  to  image  diseased  arteries  during  a  recanalization  procedure.  The  development  of  guide  wires,  angioplasty  balloons,  and  stents  quickly  followed.  Management  of  lower  limb  ischemia  and  the  diabetic  foot  will  continue  to  evolve,  building  on  the  history  and  passion  of  preceding  physicians  and  surgeons.1