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The Ischemic Leg

Arch Surg. 1986;121(7):854. doi:10.1001/archsurg.1986.01400070124027.
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When I received this book to review, I thought, not another book about vascular surgery. After reading it, I am glad that it has been published because it is a very good book that was well produced. There are excellent chapters discussing and describing a variety of methods of infrainguinal arterial reconstruction for chronic lower-limb ischemia. These include: femoral profundaplasty, infrainguinal thromboendarterectomy, bypass grafting with the reversed saphenous vein, in situ saphenous vein bypass, using arm veins as lower-limb bypass conduits, and infrainguinal arterial bypass using prosthetic grafts. The modern trend in the choice of procedures for infrainguinal arterial reconstruction is well illustrated by Dr Kempczinski's chapter selection. For infrainguinal arterial reconstruction, he alloted five chapters to procedures that use autogenous tissue and only one chapter for prostheses of collagen, Dacron, and polytetrafluoroethylene. Put another way, 198 pages are devoted to procedures that use autogenous tissue, and only 18 pages


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