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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003993naa a2200529 4500
001oai:lup.lub.lu.se:63f19e72-3e8a-41dc-b89c-776b7c7f86ea
003SwePub
008160401s2011 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/23484752 URI
024a https://doi.org/10.1016/S1078-5884(11)60013-02 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Dick, F.4 aut
2451 0a Follow-up after Revascularisation
264 1c 2011
520 a Structured follow-up after revascularisation for chronic critical limb ischaemia (CLI) aims at sustained treatment success and continued best patient care. Thereby, efforts need to address three fundamental domains: (A) best medical therapy, both to protect the arterial reconstruction locally and to reduce atherosclerotic burden systemically; (B) surveillance of the arterial reconstruction; and (C) timely initiation of repeat interventions. As most CLI patients are elderly and frail, sustained resolution of CLI and preserved ambulatory capacity may decide over independent living and overall prognosis. Despite this importance, previous guidelines have largely ignored follow-up after CLI; arguably because of a striking lack of evidence and because of a widespread assumption that, in the context of CLI, efficacy of initial revascularisation will determine prognosis during the short remaining life expectancy. This chapter of the current CLI guidelines aims to challenge this disposition and to recommend evidentially best clinical practice by critically appraising available evidence in all of the above domains, including antiplatelet and antithrombotic therapy, clinical surveillance, use of duplex ultrasound, and indications for and preferred type of repeat interventions for failing and failed reconstructions. However, as corresponding studies are rarely performed among CLI patients specifically, evidence has to be consulted that derives from expanded patient populations. Therefore, most recommendations are based on extrapolations or subgroup analyses, which leads to an almost systematic degradation of their strength. Endovascular reconstruction and surgical bypass are considered separately, as are specific contexts such as diabetes or renal failure; and critical issues are highlighted throughout to inform future studies. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a Critical limb ischaemia
653 a Follow-up
653 a Surveillance
653 a Repeat
653 a revascularisation
653 a Prognosis
700a Ricco, J. -B.4 aut
700a Davies, A. H.4 aut
700a Cao, P.4 aut
700a Setacci, C.4 aut
700a de Donato, G.4 aut
700a Becker, F.4 aut
700a Robert-Ebadi, H.4 aut
700a Eckstein, H. H.4 aut
700a De Rango, P.4 aut
700a Diehm, N.4 aut
700a Schmidli, J.4 aut
700a Teraa, M.4 aut
700a Moll, F. L.4 aut
700a Lepantalo, M.4 aut
700a Apelqvist, Janu Lund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups4 aut0 (Swepub:lu)endo-jap
710a Genomik, diabetes och endokrinologib Forskargrupper vid Lunds universitet4 org
773t European Journal of Vascular and Endovascular Surgeryg 42:Suppl. 2, s. 75-90q 42:Suppl. 2<75-90x 1532-2165
856u http://dx.doi.org/10.1016/S1078-5884(11)60013-0y FULLTEXT
8564 8u https://lup.lub.lu.se/record/2348475
8564 8u https://doi.org/10.1016/S1078-5884(11)60013-0

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