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- W2060611105 abstract "EPIDEMIOLOGY Among the population of patients presenting with peripheral arterial occlusive disease, the anatomic distribution of atherosclerotic lesions differs somewhat between diabetic and non-diabetic individuals. Non-diabetic patients are more likely to develop a0110-iliac occlusive disease whereas infra inguinal disease, and especially infrapopliteal occlusive disease, is seen more commonly in the diabetiC population. However, among both groups, the femoral-popliteal anatomic segment is clearly the most frequent arterial bed in which arteriosclerotic lesions occur. It is estimated that atherosclerotic disease of the lower extremities affects at least 5% of individuals over the age of 60 and at least 10% of those over the age of 70. Severe limb threatening ischemia, most often secondary to femoral-popliteal-tibial occlusive disease affects at east 50,000 individuals each year in the United States. These epidemiologic observations are reflected in clinical practice since exclusive of carotid endarterectomy, infrainguinal bypass grafts (femoralpopliteal and femoral-tibial) are the most frequently performed operations in peripheral vascular surgery, with nearly 80,000 procedures performed annually in the United States. It is estimated that the percentage of individuals over the age of 65 will increase by more than 70% over the next four decades and those over the age of 85 by 600%. By the year 2030, it is predicted that roughly 7% of the United States population will be age 85 or older. It is therefore clear that femoral-popliteal revascularization represents a significant growth area in medical practice. Patients presenting with femoral-popliteal-tibial occlUSive disease tend to be somewhat older than those presenting with aorto-iliac occlusive disease. Tobacco use, hypertension, and as noted above, diabetes mellitus are risk factors for this pathologic process. There is also a strong association between femoral-popliteal occlusive disease and atherosclerotic disease in the carotid and coronary artery circulations, and in fact, cardiac morbidity is the most common cause of mortality among those who undergo surgical femoral-popliteal reconstructions." @default.
- W2060611105 created "2016-06-24" @default.
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- W2060611105 date "2005-02-01" @default.
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- W2060611105 title "The Role of the Surgical Femoropopliteal Bypass in Today's Practice" @default.
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- W2060611105 doi "https://doi.org/10.1016/s1051-0443(05)70048-8" @default.
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