SlideShare a Scribd company logo
1 of 53
LECTURE  10 Chronic vascular diseases  of the lower limb National O. Bogomolets  Medical University  Faculty Surgery Department N1 Kyiv 2008 Prof. Kucher M.
PATHOPHYSIOLOGY OF ARTERIAL   DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology of atherosclerosis
CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomical site ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Collateral supply ,[object Object],[object Object],[object Object]
Speed of onset ,[object Object],[object Object],[object Object]
Mechanism of injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
CHRONIC LOWER LIMB ARTERIAL DISEASE ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
On examination, the chronically ischaemic limb is usually characterized by: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pulse status ,[object Object]
Ankle:brachial pressure index ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],I NTERMITTENT CLAUDICATION  Clinical features
[object Object],[object Object]
[object Object],[object Object]
[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CRITICAL LIMB ISCHAEMIA   ,[object Object],[object Object],[object Object],[object Object]
Night and rest pain  ,[object Object],[object Object],[object Object]
The diabetic foot  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of the diabetic foot ,[object Object],[object Object],[object Object]
MANAGEMENT OF LOWER LIMB ISCHAEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF LOWER LIMB   ISCHAEMIA ,[object Object]
MANAGEMENT OF LOWER LIMB   ISCHAEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF LOWER LIMB   ISCHAEMIA ,[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF LOWER LIMB   ISCHAEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of arterial reconstruction  ,[object Object]
Principles of arterial reconstruction  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of arterial reconstruction  Anatomic  and  Extra-anatomic Bypass
AMPUTATION  ,[object Object],[object Object],[object Object]
AMPUTATION  ,[object Object]
PATHOPHYSIOLOGY OF VENOUS DISEASE   ,[object Object]
PHYSIOLOGY ,[object Object],[object Object],[object Object]
VARICOSE VEINS CLASSIFICATION ,[object Object],[object Object]
VARICOSE VEINS CLASSIFICATION ,[object Object],[object Object]
VARICOSE VEINS CLASSIFICATION ,[object Object],[object Object]
EPIDEMIOLOGY  ,[object Object]
CLINICAL FEATURES  ,[object Object]
Complications  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for treatment  ,[object Object],[object Object]
AETIOLOGY  ,[object Object],[object Object],[object Object],[object Object]
EXAMINATION  ,[object Object],[object Object],[object Object]
EXAMINATION  ,[object Object]
MANAGEMENT  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Other new treatments ,[object Object],[object Object],[object Object],[object Object]
CHRONIC VENOUS INSUFFICIENCY ,[object Object],[object Object],[object Object],[object Object]
MANAGEMENT  ,[object Object],[object Object],[object Object],[object Object]
VENOUS THROMBOEMBOLISM (VTE) ,[object Object],[object Object],[object Object]

More Related Content

What's hot

Aneurism and peripherial vascular disease
Aneurism and peripherial vascular diseaseAneurism and peripherial vascular disease
Aneurism and peripherial vascular diseaseOM VERMA
 
peripherial arterial disease
peripherial arterial diseaseperipherial arterial disease
peripherial arterial diseaseNote Noteenote
 
Acute limb ischemia (ALI)
Acute limb ischemia (ALI)Acute limb ischemia (ALI)
Acute limb ischemia (ALI)manu tiwari
 
Peripheral artery disease presentation
Peripheral artery disease presentationPeripheral artery disease presentation
Peripheral artery disease presentationMattLoniero1
 
S. mehta peripheral vascular disease and intervention
S. mehta peripheral vascular disease and interventionS. mehta peripheral vascular disease and intervention
S. mehta peripheral vascular disease and interventionAlysia Smith
 
Peripheral vascular disease and Clinical features of acute and chronic arteri...
Peripheral vascular disease and Clinical features of acute and chronic arteri...Peripheral vascular disease and Clinical features of acute and chronic arteri...
Peripheral vascular disease and Clinical features of acute and chronic arteri...Sumer Yadav
 
artrial disorder managent and nursing care plan
artrial disorder managent and nursing care plan artrial disorder managent and nursing care plan
artrial disorder managent and nursing care plan Mayashafiz
 
PAD & Lower Extremity Interventions
PAD & Lower Extremity InterventionsPAD & Lower Extremity Interventions
PAD & Lower Extremity InterventionsNAJEEB ULLAH SOFI
 
Chronic limb ischemia
Chronic limb ischemia Chronic limb ischemia
Chronic limb ischemia Kundan Singh
 
Chronic lower limb ischemia
Chronic lower limb ischemia Chronic lower limb ischemia
Chronic lower limb ischemia Derar Ismerat
 
Chronic limb ischemia
Chronic limb ischemiaChronic limb ischemia
Chronic limb ischemiaDr Slayer
 
Peripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb Ischemia
Peripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb IschemiaPeripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb Ischemia
Peripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb IschemiaDr Sushil Gyawali
 

What's hot (20)

occlusive arterial disease
occlusive arterial diseaseocclusive arterial disease
occlusive arterial disease
 
Aneurism and peripherial vascular disease
Aneurism and peripherial vascular diseaseAneurism and peripherial vascular disease
Aneurism and peripherial vascular disease
 
peripherial arterial disease
peripherial arterial diseaseperipherial arterial disease
peripherial arterial disease
 
Arterial diseases
Arterial diseasesArterial diseases
Arterial diseases
 
Acute Limb Ischemia
Acute Limb IschemiaAcute Limb Ischemia
Acute Limb Ischemia
 
Acute limb ischemia (ALI)
Acute limb ischemia (ALI)Acute limb ischemia (ALI)
Acute limb ischemia (ALI)
 
Peripheral artery disease presentation
Peripheral artery disease presentationPeripheral artery disease presentation
Peripheral artery disease presentation
 
S. mehta peripheral vascular disease and intervention
S. mehta peripheral vascular disease and interventionS. mehta peripheral vascular disease and intervention
S. mehta peripheral vascular disease and intervention
 
Acutelimbischaemia for medical students 2021
Acutelimbischaemia for medical students 2021Acutelimbischaemia for medical students 2021
Acutelimbischaemia for medical students 2021
 
Peripheral vascular disease and Clinical features of acute and chronic arteri...
Peripheral vascular disease and Clinical features of acute and chronic arteri...Peripheral vascular disease and Clinical features of acute and chronic arteri...
Peripheral vascular disease and Clinical features of acute and chronic arteri...
 
artrial disorder managent and nursing care plan
artrial disorder managent and nursing care plan artrial disorder managent and nursing care plan
artrial disorder managent and nursing care plan
 
Chronic venous disease 2020
Chronic venous disease 2020Chronic venous disease 2020
Chronic venous disease 2020
 
PAD & Lower Extremity Interventions
PAD & Lower Extremity InterventionsPAD & Lower Extremity Interventions
PAD & Lower Extremity Interventions
 
Chronic limb ischemia
Chronic limb ischemia Chronic limb ischemia
Chronic limb ischemia
 
Acute Limb ischemia
Acute Limb ischemiaAcute Limb ischemia
Acute Limb ischemia
 
Chronic lower limb ischemia
Chronic lower limb ischemia Chronic lower limb ischemia
Chronic lower limb ischemia
 
Chronic limb ischemia
Chronic limb ischemiaChronic limb ischemia
Chronic limb ischemia
 
Acute limb ischemia
Acute limb ischemiaAcute limb ischemia
Acute limb ischemia
 
Peripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb Ischemia
Peripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb IschemiaPeripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb Ischemia
Peripheral Vascular disease / Chronic limb ischemia / CLI / Acute limb Ischemia
 
Occlusive arterial disease 2019
Occlusive arterial disease 2019Occlusive arterial disease 2019
Occlusive arterial disease 2019
 

Viewers also liked

Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13Dr. Rubz
 
Meningitis by Prof Khin
Meningitis by Prof KhinMeningitis by Prof Khin
Meningitis by Prof KhinDr. Rubz
 
Crf wtih fluid overload mx pathway summary
Crf wtih fluid overload mx pathway summaryCrf wtih fluid overload mx pathway summary
Crf wtih fluid overload mx pathway summaryDr. Rubz
 
Gynae Hx taking and P/E by Dr Yay Mon
Gynae Hx taking and P/E by Dr Yay MonGynae Hx taking and P/E by Dr Yay Mon
Gynae Hx taking and P/E by Dr Yay MonDr. Rubz
 
Tuberculosis summary
Tuberculosis summaryTuberculosis summary
Tuberculosis summaryDr. Rubz
 
Thrombocytopenia summary
Thrombocytopenia summaryThrombocytopenia summary
Thrombocytopenia summaryDr. Rubz
 
Scleroderma long case summary
Scleroderma long case  summaryScleroderma long case  summary
Scleroderma long case summaryDr. Rubz
 
Cardiac failure ( long case approach ) summary
Cardiac failure ( long case approach ) summaryCardiac failure ( long case approach ) summary
Cardiac failure ( long case approach ) summaryDr. Rubz
 
Core competencies - Medical Development Division
Core competencies - Medical Development Division Core competencies - Medical Development Division
Core competencies - Medical Development Division Dr Hirman Ismail
 
Shock summary
Shock summaryShock summary
Shock summaryDr. Rubz
 
Testicular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr RubzTesticular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr RubzDr. Rubz
 
Approach to proteinuria Summary
Approach to proteinuria SummaryApproach to proteinuria Summary
Approach to proteinuria SummaryDr. Rubz
 
Optingin vs opting out - Malaysian Thoracic Society
Optingin vs opting out - Malaysian Thoracic Society Optingin vs opting out - Malaysian Thoracic Society
Optingin vs opting out - Malaysian Thoracic Society Dr Hirman Ismail
 
Ulc auction final
Ulc auction finalUlc auction final
Ulc auction finalDr. Rubz
 
Meningitis summary
Meningitis summaryMeningitis summary
Meningitis summaryDr. Rubz
 
Alcoholism Summary
Alcoholism SummaryAlcoholism Summary
Alcoholism SummaryDr. Rubz
 
Pyrexia of unknown summary
Pyrexia of unknown summaryPyrexia of unknown summary
Pyrexia of unknown summaryDr. Rubz
 
Chronic liver disease ( concise long case approach )
Chronic liver disease ( concise long case approach )Chronic liver disease ( concise long case approach )
Chronic liver disease ( concise long case approach )Dr. Rubz
 
Abtics by Dr San
Abtics by Dr SanAbtics by Dr San
Abtics by Dr SanDr. Rubz
 
Dengue Hemorrhagic fever
Dengue Hemorrhagic feverDengue Hemorrhagic fever
Dengue Hemorrhagic feverDr. Rubz
 

Viewers also liked (20)

Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13
 
Meningitis by Prof Khin
Meningitis by Prof KhinMeningitis by Prof Khin
Meningitis by Prof Khin
 
Crf wtih fluid overload mx pathway summary
Crf wtih fluid overload mx pathway summaryCrf wtih fluid overload mx pathway summary
Crf wtih fluid overload mx pathway summary
 
Gynae Hx taking and P/E by Dr Yay Mon
Gynae Hx taking and P/E by Dr Yay MonGynae Hx taking and P/E by Dr Yay Mon
Gynae Hx taking and P/E by Dr Yay Mon
 
Tuberculosis summary
Tuberculosis summaryTuberculosis summary
Tuberculosis summary
 
Thrombocytopenia summary
Thrombocytopenia summaryThrombocytopenia summary
Thrombocytopenia summary
 
Scleroderma long case summary
Scleroderma long case  summaryScleroderma long case  summary
Scleroderma long case summary
 
Cardiac failure ( long case approach ) summary
Cardiac failure ( long case approach ) summaryCardiac failure ( long case approach ) summary
Cardiac failure ( long case approach ) summary
 
Core competencies - Medical Development Division
Core competencies - Medical Development Division Core competencies - Medical Development Division
Core competencies - Medical Development Division
 
Shock summary
Shock summaryShock summary
Shock summary
 
Testicular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr RubzTesticular cancer for public awareness by Dr Rubz
Testicular cancer for public awareness by Dr Rubz
 
Approach to proteinuria Summary
Approach to proteinuria SummaryApproach to proteinuria Summary
Approach to proteinuria Summary
 
Optingin vs opting out - Malaysian Thoracic Society
Optingin vs opting out - Malaysian Thoracic Society Optingin vs opting out - Malaysian Thoracic Society
Optingin vs opting out - Malaysian Thoracic Society
 
Ulc auction final
Ulc auction finalUlc auction final
Ulc auction final
 
Meningitis summary
Meningitis summaryMeningitis summary
Meningitis summary
 
Alcoholism Summary
Alcoholism SummaryAlcoholism Summary
Alcoholism Summary
 
Pyrexia of unknown summary
Pyrexia of unknown summaryPyrexia of unknown summary
Pyrexia of unknown summary
 
Chronic liver disease ( concise long case approach )
Chronic liver disease ( concise long case approach )Chronic liver disease ( concise long case approach )
Chronic liver disease ( concise long case approach )
 
Abtics by Dr San
Abtics by Dr SanAbtics by Dr San
Abtics by Dr San
 
Dengue Hemorrhagic fever
Dengue Hemorrhagic feverDengue Hemorrhagic fever
Dengue Hemorrhagic fever
 

Similar to Bohomolets Surgery 4th year Lecture #10

Arterial_thrombosis_and_embolism-1.pdf
Arterial_thrombosis_and_embolism-1.pdfArterial_thrombosis_and_embolism-1.pdf
Arterial_thrombosis_and_embolism-1.pdfssuser886f40
 
Ischemic Colitis
Ischemic ColitisIschemic Colitis
Ischemic ColitisI A Shad
 
Peripheral Arteries Usg-1.pptx
Peripheral Arteries Usg-1.pptxPeripheral Arteries Usg-1.pptx
Peripheral Arteries Usg-1.pptxAmeenaRamzan2
 
Peripheral Arterial Disease.pptx
Peripheral Arterial Disease.pptxPeripheral Arterial Disease.pptx
Peripheral Arterial Disease.pptxShilpasree Saha
 
Amol gulhane -peripheral vascular disease
Amol gulhane -peripheral vascular diseaseAmol gulhane -peripheral vascular disease
Amol gulhane -peripheral vascular diseaseAmol Gulhane
 
58632-1702-195651-1-10-20210201.pdf
58632-1702-195651-1-10-20210201.pdf58632-1702-195651-1-10-20210201.pdf
58632-1702-195651-1-10-20210201.pdfsasmitadewi6
 
Ischemic heart disease.pdf
Ischemic heart disease.pdfIschemic heart disease.pdf
Ischemic heart disease.pdfGraceT12
 
Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...
Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...
Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...Farooq Yadwad
 
Presentation1.pptx, radiological imaging of upper limb ischemia.
Presentation1.pptx, radiological imaging of upper limb ischemia.Presentation1.pptx, radiological imaging of upper limb ischemia.
Presentation1.pptx, radiological imaging of upper limb ischemia.Abdellah Nazeer
 
peripheral vascular disease.pptx
peripheral vascular disease.pptxperipheral vascular disease.pptx
peripheral vascular disease.pptxvaibhavpaul9
 
Lecture 7 (SCD New) 2.pptx
Lecture 7 (SCD New) 2.pptxLecture 7 (SCD New) 2.pptx
Lecture 7 (SCD New) 2.pptxHappychifunda
 
Internal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdf
Internal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdfInternal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdf
Internal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdfSani42793
 
Peripheral artery disease
Peripheral artery diseasePeripheral artery disease
Peripheral artery diseasemahboobehsheikh
 
Avascular necross
Avascular necrossAvascular necross
Avascular necrossramarawand
 

Similar to Bohomolets Surgery 4th year Lecture #10 (20)

ali.pdf
ali.pdfali.pdf
ali.pdf
 
Arterial_thrombosis_and_embolism-1.pdf
Arterial_thrombosis_and_embolism-1.pdfArterial_thrombosis_and_embolism-1.pdf
Arterial_thrombosis_and_embolism-1.pdf
 
Ischemic Colitis
Ischemic ColitisIschemic Colitis
Ischemic Colitis
 
Peripheral Arteries Usg-1.pptx
Peripheral Arteries Usg-1.pptxPeripheral Arteries Usg-1.pptx
Peripheral Arteries Usg-1.pptx
 
Acute Limb Ischemia
Acute Limb IschemiaAcute Limb Ischemia
Acute Limb Ischemia
 
Peripheral Arterial Disease.pptx
Peripheral Arterial Disease.pptxPeripheral Arterial Disease.pptx
Peripheral Arterial Disease.pptx
 
Amol gulhane -peripheral vascular disease
Amol gulhane -peripheral vascular diseaseAmol gulhane -peripheral vascular disease
Amol gulhane -peripheral vascular disease
 
58632-1702-195651-1-10-20210201.pdf
58632-1702-195651-1-10-20210201.pdf58632-1702-195651-1-10-20210201.pdf
58632-1702-195651-1-10-20210201.pdf
 
Peripheral arterial diseases
Peripheral arterial diseasesPeripheral arterial diseases
Peripheral arterial diseases
 
Ischemic heart disease.pdf
Ischemic heart disease.pdfIschemic heart disease.pdf
Ischemic heart disease.pdf
 
Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...
Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...
Anesthetic implications of TOTAL HIP REPLACEMENT and TOTAL KNEE Replacement s...
 
Coarctation of aorta
Coarctation of aortaCoarctation of aorta
Coarctation of aorta
 
vascular diseases.pptx
vascular diseases.pptxvascular diseases.pptx
vascular diseases.pptx
 
Presentation1.pptx, radiological imaging of upper limb ischemia.
Presentation1.pptx, radiological imaging of upper limb ischemia.Presentation1.pptx, radiological imaging of upper limb ischemia.
Presentation1.pptx, radiological imaging of upper limb ischemia.
 
Insuficiencia arterial
Insuficiencia arterialInsuficiencia arterial
Insuficiencia arterial
 
peripheral vascular disease.pptx
peripheral vascular disease.pptxperipheral vascular disease.pptx
peripheral vascular disease.pptx
 
Lecture 7 (SCD New) 2.pptx
Lecture 7 (SCD New) 2.pptxLecture 7 (SCD New) 2.pptx
Lecture 7 (SCD New) 2.pptx
 
Internal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdf
Internal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdfInternal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdf
Internal Medicine Lecture 4 Chronic forms of ischemic heart disease.pdf
 
Peripheral artery disease
Peripheral artery diseasePeripheral artery disease
Peripheral artery disease
 
Avascular necross
Avascular necrossAvascular necross
Avascular necross
 

More from Dr. Rubz

HIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr RubzHIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr RubzDr. Rubz
 
HIV/AIDS data Hub Asia Pacific -Malaysia 2014
HIV/AIDS data Hub Asia Pacific -Malaysia  2014HIV/AIDS data Hub Asia Pacific -Malaysia  2014
HIV/AIDS data Hub Asia Pacific -Malaysia 2014Dr. Rubz
 
Regional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve KrausRegional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve KrausDr. Rubz
 
Game Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari NgadimanGame Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari NgadimanDr. Rubz
 
Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)Dr. Rubz
 
Prostate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZProstate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZDr. Rubz
 
Breast Cancer for public awareness by Dr Rubz
Breast Cancer for public awareness by Dr  RubzBreast Cancer for public awareness by Dr  Rubz
Breast Cancer for public awareness by Dr RubzDr. Rubz
 
Sex work presentation 9.18.13a
Sex work presentation 9.18.13aSex work presentation 9.18.13a
Sex work presentation 9.18.13aDr. Rubz
 
Rapid interpretation of ECG
Rapid interpretation of ECGRapid interpretation of ECG
Rapid interpretation of ECGDr. Rubz
 
Hernia by Dr. Rubzzz
Hernia by Dr. RubzzzHernia by Dr. Rubzzz
Hernia by Dr. RubzzzDr. Rubz
 
Benign breast disease by Dr. Kong
Benign breast disease by Dr. KongBenign breast disease by Dr. Kong
Benign breast disease by Dr. KongDr. Rubz
 
Breast CA by Dr. Celine Tey
Breast CA by Dr. Celine TeyBreast CA by Dr. Celine Tey
Breast CA by Dr. Celine TeyDr. Rubz
 
Other scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. TeoOther scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. TeoDr. Rubz
 
Ventral hernia by Dr Teo
Ventral hernia by Dr TeoVentral hernia by Dr Teo
Ventral hernia by Dr TeoDr. Rubz
 
Testicular torsion by Dr Teo
Testicular torsion by Dr TeoTesticular torsion by Dr Teo
Testicular torsion by Dr TeoDr. Rubz
 
Uk malaria treatment guideline
Uk malaria treatment guidelineUk malaria treatment guideline
Uk malaria treatment guidelineDr. Rubz
 
Short case approach to acromegaly summary
Short case approach to acromegaly summaryShort case approach to acromegaly summary
Short case approach to acromegaly summaryDr. Rubz
 
Short case approach to cushing summary
Short case approach to cushing summaryShort case approach to cushing summary
Short case approach to cushing summaryDr. Rubz
 
Short case approach to parkinson's dz summary
Short case approach to parkinson's dz summaryShort case approach to parkinson's dz summary
Short case approach to parkinson's dz summaryDr. Rubz
 
Short case approach to speech analysis summary
Short case approach to speech analysis summaryShort case approach to speech analysis summary
Short case approach to speech analysis summaryDr. Rubz
 

More from Dr. Rubz (20)

HIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr RubzHIV discrimination among health providers in Malaysia by Dr Rubz
HIV discrimination among health providers in Malaysia by Dr Rubz
 
HIV/AIDS data Hub Asia Pacific -Malaysia 2014
HIV/AIDS data Hub Asia Pacific -Malaysia  2014HIV/AIDS data Hub Asia Pacific -Malaysia  2014
HIV/AIDS data Hub Asia Pacific -Malaysia 2014
 
Regional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve KrausRegional Overview in HIV by Steve Kraus
Regional Overview in HIV by Steve Kraus
 
Game Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari NgadimanGame Changer by Dr Shaari Ngadiman
Game Changer by Dr Shaari Ngadiman
 
Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)Pre and post HIV counseling (VCT)
Pre and post HIV counseling (VCT)
 
Prostate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZProstate cancer for public awareness by DR RUBZ
Prostate cancer for public awareness by DR RUBZ
 
Breast Cancer for public awareness by Dr Rubz
Breast Cancer for public awareness by Dr  RubzBreast Cancer for public awareness by Dr  Rubz
Breast Cancer for public awareness by Dr Rubz
 
Sex work presentation 9.18.13a
Sex work presentation 9.18.13aSex work presentation 9.18.13a
Sex work presentation 9.18.13a
 
Rapid interpretation of ECG
Rapid interpretation of ECGRapid interpretation of ECG
Rapid interpretation of ECG
 
Hernia by Dr. Rubzzz
Hernia by Dr. RubzzzHernia by Dr. Rubzzz
Hernia by Dr. Rubzzz
 
Benign breast disease by Dr. Kong
Benign breast disease by Dr. KongBenign breast disease by Dr. Kong
Benign breast disease by Dr. Kong
 
Breast CA by Dr. Celine Tey
Breast CA by Dr. Celine TeyBreast CA by Dr. Celine Tey
Breast CA by Dr. Celine Tey
 
Other scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. TeoOther scrotal swelling by Dr. Teo
Other scrotal swelling by Dr. Teo
 
Ventral hernia by Dr Teo
Ventral hernia by Dr TeoVentral hernia by Dr Teo
Ventral hernia by Dr Teo
 
Testicular torsion by Dr Teo
Testicular torsion by Dr TeoTesticular torsion by Dr Teo
Testicular torsion by Dr Teo
 
Uk malaria treatment guideline
Uk malaria treatment guidelineUk malaria treatment guideline
Uk malaria treatment guideline
 
Short case approach to acromegaly summary
Short case approach to acromegaly summaryShort case approach to acromegaly summary
Short case approach to acromegaly summary
 
Short case approach to cushing summary
Short case approach to cushing summaryShort case approach to cushing summary
Short case approach to cushing summary
 
Short case approach to parkinson's dz summary
Short case approach to parkinson's dz summaryShort case approach to parkinson's dz summary
Short case approach to parkinson's dz summary
 
Short case approach to speech analysis summary
Short case approach to speech analysis summaryShort case approach to speech analysis summary
Short case approach to speech analysis summary
 

Recently uploaded

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...chandars293
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...adilkhan87451
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...khalifaescort01
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Anamika Rawat
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...adilkhan87451
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls ServiceGENUINE ESCORT AGENCY
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...khalifaescort01
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...chennailover
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Dipal Arora
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 

Recently uploaded (20)

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 

Bohomolets Surgery 4th year Lecture #10

  • 1. LECTURE 10 Chronic vascular diseases of the lower limb National O. Bogomolets Medical University Faculty Surgery Department N1 Kyiv 2008 Prof. Kucher M.
  • 2.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32. Principles of arterial reconstruction Anatomic and Extra-anatomic Bypass
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.