title: [Lower limb revascularization--a continuous challenge].
abstract: Revascularization of the lower extremity in patients with diabetes or chronic obstructive arterial disease is a challenging, still unsolved problem. Modern day technique (stem cell therapy, hyperbaric therapy) has yet to deliver satisfactory results. Homogenous (safenous vein) or heterogeneous (terom, dacron, PTFE-teflon) by-pass surgery is limited because of technical difficulty and positive outcomes have a short duration. All these lead to, in most patients, to amputations as first line therapy or as an alternative to failed approaches. By-pass surgery is limited by graft obstruction. One of the current approaches is the use of omental flap autotransplantation.
authors.affiliation: Clinica Chirurgie, Spitalul Clinic de Urgenţă "Sf. Pantelimon", Bucureşti, România. bogdansocea@gmail.com
authors.forename: B
authors.initials: B
authors.lastname: Socea
authors.forename: V
authors.initials: V
authors.lastname: Constantin
authors.forename: A
authors.initials: A
authors.lastname: Carap
authors.forename: C
authors.initials: C
authors.lastname: Moculescu
authors.forename: D
authors.initials: D
authors.lastname: Costea
authors.forename: F
authors.initials: F
authors.lastname: Popa
authors.forename: Z
authors.initials: Z
authors.lastname: Galajda
mesh_terms: D000671:Amputation, Surgical; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D048909:Diabetes Complications / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000601:surgery*; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000601:surgery; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000601:surgery; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
chemical_list: D011093:Polyethylene Terephthalates; C025539:Lavsan; D011138:Polytetrafluoroethylene