EWMA 2014 - Vascular Wounds: Ulcers with Venous Origins - (3) E.W. Henneberg скачать в хорошем качестве

EWMA 2014 - Vascular Wounds: Ulcers with Venous Origins - (3) E.W. Henneberg

Eskild W. Henneberg's presentation: "Ischaemic wounds - Diagnosis and treatment possibilities" during the key session "Vascular Wounds" at the 24th EWMA Conference in Madrid, Spain, in May 2014. The next EWMA Conference will be held in May 2015 in London. For more information, please visit the webpage: http://ewma2015.org/ ISCHAEMIC WOUNDS -- DIAGNOSIS AND TREATMENT POSSIBILITIES Henneberg Eskild W.1 1Department of Vascular Surgery, Viborg Hospital (Viborg, Denmark). Wounds on extremities caused by ischemia are the single most common cause of minor and major amputations, causing disability, personal deterioration and community costs. Within the last 25 years, the possibilities for precise diagnosis and improved treatment have increased dramatically. Assessing the wound can be done non-invasive by toe-pressure measurement, transcutaneous oxygen tension, ultrasound, MRI and CT-angio. In treatment, the open surgical procedures for revascularization has gone down in favor of minimal invasive catheter-based techniques, but the 50 yrs old vena saphena magna in situ bypass is still a cornerstone in revascularization procedures. Starting the experience in the small coronary arteries, the balloon and stent technology has now reached the foot sole, and what was not even thought of as a possibility a few years ago -- reopening of a 20 cm long occluded segment of a crural or pedal artery -- is now feasible. Of course everything is not possible -- but this is not to be known before proper assessment has been done -- and the new treatment modalities have demonstrated limb conservation at a high rate.