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The Management of Ischemic Limb in Thromboangiitis Obliterans (Buerger's Disease)

Journal

INDIAN JOURNAL OF SURGERY
Volume 83, Issue SUPPL 4, Pages 836-844

Publisher

SPRINGER INDIA
DOI: 10.1007/s12262-021-02748-8

Keywords

Winiwarter-Buerger syndrome; Buerger’ s disease; Thromboangiitis obliterans; Chronic limb ischaemia; Peripheral vascular disease; Sympathectomy; Omental auto-transplantation

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Thromboangiitis obliterans is a segmental and progressive disease involving inflammation, thrombosis and re-canalisation of medium- and small-sized arteries and veins. The disease is globally prevalent, with smoking being the most significant risk factor. The diagnosis is challenging and treatment options are not fully standardised by well-proven randomised case control studies.
Thromboangiitis obliterans is a segmental, progressive and recurrent inflammation thrombosis and re-canalisation of medium- and small-sized arteries and veins. The disease has a worldwide spread, and smoking appears to be the most important risk factor in these patients; cessation of smoking has been associated with improved limb salvage rates. Diagnosis is elusive, and treatment options are not fully standardised by well-proven randomised case control studies.

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