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A 71-year-old female asked about a 71-year-old female:

Is revascularisationand an option for small vessel disease, regarding leg amputation? what questions should i ask her doctor?

2 doctor answers4 doctors weighed in
Dr. John Mancoll
Plastic Surgery 30 years experience
Some times: If revasculizing leads to a higher flow rate and increased pressure then small blood vessels may open up and deliver more oxygen to the tissues. But if the small vessels are clogged as we see with diabetes ( which effect small and large vessels) then it may not help. Hopefully there are only small isolated areas of blockage and the body will compensate with making new collateral vessels.
Dr. Joseph Mele
Dr. Joseph Mele commented
Plastic Surgery 32 years experience
When small vessles are clogged, revascularization is like running a freeway to a gravel road.
May 8, 2013
Dr. Denis Winder
Plastic Surgery 58 years experience
Information: It depends on how small the vessels are. There have been vascular bypass grafts completed to the anterior and posterior tibial vessels at the ankle level. There is also another technique that sometimes works for a chronic vascular ulcer in the lower leg or foot. It is called wound vac therapy which stimulates the ingrowth of new vessels.

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Last updated Jan 21, 2017

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