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[Mixed leg ulcers].
Journal article

[Mixed leg ulcers].

  • Willenberg T Universitätsklinik für Angiologie, Schweizer Herz- und Gefäßzentrum, Inselspital, Bern. torsten.willenberg@insel.ch
  • 2011-03-02
Published in:
  • Therapeutische Umschau. Revue therapeutique. - 2011
Humans
Leg Ulcer
Stockings, Compression
Vascular Grafting
English Coexisting peripheral arterial disease is not uncommon (15 - 21 %) in patients with ulcera cruris primarily based on a venous etiology. Patient's history, clinical examination and detection of ABI as well as duplex scan will establish diagnosis of mixed arterial-venous ulcera. Clinical significance of coexisting arterial disease is often difficult to define and should be evaluated by a vascular specialist. The concept of treatment of mixed ulcers should always include the arterial component. Frequently peripheral arterial perfusion and healing can be improved by minimal invasive, endovascular revascularization. Compression therapy is the corner stone in treatment of venous disease and should be complemented by contemporary two piece graduated compression systems if ulcera are present. According to circumstances ablation of varicose veins must be considered.
Language
  • English
Open access status
closed
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Persistent URL
https://sonar.ch/global/documents/79664
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