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  • Title: Hemodynamic assessment of combined aortoiliac/femoropopliteal occlusive disease and selection of single or multilevel revascularization.
    Author: Moneta GL, Yeager RA, Taylor LM, Porter JM.
    Journal: Semin Vasc Surg; 1994 Mar; 7(1):3-10. PubMed ID: 8180753.
    Abstract:
    Approximately 25% of patients with multilevel arterial occlusive disease will require both inflow and outflow revascularization in order to successfully resolve their symptoms of lower limb ischemia. The preoperative selection of patients for multilevel concurrent arterial reconstruction is guided by symptoms, information from the noninvasive vascular laboratory, the predicted postoperative ABI, and detailed multiview angiography including pull-back intra-arterial pressure measurements. Properly selected patients will benefit from a carefully planned and expeditiously performed simultaneous revascularization. Current results indicate no significant increase in operative morbidity or mortality rates and excellent graft patency rates with these combined procedures.
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