[Surgical indications--who determines the limits?].
The indication for revascularization in claudicants is determined by the complaints of the patients and the risk of the procedure. Instead of good long-term results, a possible more rapid progression of arteriosclerosis should be considered after a vascular procedure. In limb-threatening ischemia, a vascular intervention is possible in up to 95% of cases. In the case of poor prognosis, the patient himself decides whether or not amputation is the primary treatment. The consent of the patient is valid only when there is no possibility of revascularization as determined by objective criteria, or when the patient chooses amputation primarily. Therefore, the indication for amputation is not limited by the competence of a single surgeon.
Schweiger
H
H
Gefässchirurgische Abteilung, Chirurgische Universitätsklinik, Erlangen.
D001157:Arterial Occlusive Diseases / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery*; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D011379:Prognosis
Operationsindikation--wer bestimmt die Grenzen?