Infrainguinal revascularization after renal transplantation

Abstract

Lower extremity bypass can be performed safely and effectively in patients who have undergone renal transplantation. However, the importance of a well-functioning renal allograft at surgery is demonstrated by marked improvement in patient survival.

History of the team approach to amputation prevention: Pioneers and milestones

“…Remarkably, it was demonstrated that distal bypass could be performed safely and effectively with acceptable rates of limb salvage in patients who had undergone renal transplantation as well as in a dialysisdependent patient population. 77,78 The rise of multidisciplinary diabetic foot clinics in Europe. Enthused by the St. Vincent declaration, the team approach to diabetic foot care developed steadily in the 1990s.…”

Double Trouble: Infection and Ischemia in the Diabetic Foot

“…However, bypass and angioplasty can be performed safely and effectively in patients who have undergone renal transplantation 10 and in a dialysis-dependent patient population. 11,12 angioplasty and bypass should not be regarded as competing treatments but as complementary.…”

The Diabetic Foot in End Stage Renal Disease

“…[81] More recently, primary graft patency rates of 78% at one year and 44% at three years, with corresponding limb survival rates of 87% and 78%, have been reported. [88] When there is adequate circulation, and the major cause leading to foot ulceration is neuropathy, it is of vital importance to relieve high-pressure areas. [10,13,15] This is accomplished by bedrest to reduce further weight-bearing on the ulcerated foot and by the immediate application of some form of cast.…”