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Review
. 2000 Mar 25;320(7238):854-7.
doi: 10.1136/bmj.320.7238.854.

ABC of arterial and venous disease: Chronic lower limb ischaemia

J D Beard  1
Affiliations
Review

ABC of arterial and venous disease: Chronic lower limb ischaemia

J D Beard. BMJ. .
No abstract available

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Figures

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Figure
Angiogram showing bilateral occlusions of superficial femoral arteries in thighs. Collaterals arising from the profunda femoris artery can functionally bypass this occlusion
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Method of palpating dorsalis pedis (left) and posterior tibial (right) pulses. Examine pulses from the foot of the bed, keeping the fingers flat for the dorsalis pedis and using the fingertips for the posterior tibial, while applying counterpressure with the thumb
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Figure
Method of palpating dorsalis pedis (left) and posterior tibial (right) pulses. Examine pulses from the foot of the bed, keeping the fingers flat for the dorsalis pedis and using the fingertips for the posterior tibial, while applying counterpressure with the thumb
Figure
Figure
Method of palpating femoral pulse in skin crease of groin. Counterpressure on the lower abdomen pushes the skin crease towards the inguinal ligament and reduces the risk of missing the pulse
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Figure
Method of palpating popliteal artery with patient's knee slightly flexed. Use thumbs to apply counterpressure while palpating the artery, which lies deep in popliteal fossa, with fingers
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Algorithm for investigation of suspected intermittent claudication
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Algorithm for treatment of intermittent claudication
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Treadmills can be used for objective measurement of walking distance and for exercise training
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Short occlusion of left popliteal artery (left) treated by percutaneous transluminal angioplasty. The balloon catheter is passed through the occlusion over a guide wire and inflated (middle). Appearance after angioplasty is shown on right
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Figure
Short occlusion of left popliteal artery (left) treated by percutaneous transluminal angioplasty. The balloon catheter is passed through the occlusion over a guide wire and inflated (middle). Appearance after angioplasty is shown on right
Figure
Figure
Short occlusion of left popliteal artery (left) treated by percutaneous transluminal angioplasty. The balloon catheter is passed through the occlusion over a guide wire and inflated (middle). Appearance after angioplasty is shown on right
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Figure
Occlusion of the right common iliac artery before (left) and after (right) insertion of stent
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Critically ischaemic foot displaying typical dusky red hue on dependency (ischaemic rubor)
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Algorithm for treatment of critical limb ischaemia
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Surgical treatment options for aortoiliac disease
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