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Critical Leg Ischaemia - Its Pathophysiology and Management (Paperback, Softcover reprint of the original 1st ed. 1990)
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Critical Leg Ischaemia - Its Pathophysiology and Management (Paperback, Softcover reprint of the original 1st ed. 1990)
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Jean Natali The pathophysiology and management of chronic critical
limb -ischaemia (CLI) has always been a problematic area, at least
partly because it involves doc tors from a wide range of the
traditional medical specialities including vascular surgery,
angiology, diabetology, haematology and radiology. The treatment of
these patients also varies largely with local circumstances and
national traditions. CLI therefore seemed a particularly
appropriate subject for a new type of European consensus approach.
In 1988 a series of small workshops were held by the European
Working Group on Critical Limb Ischaemia to discuss the definition,
pathophysiology, in vestigation and management of this condition.
The process culminated in a meet ing in Berlin in March, 1989 where
120 specialists from sixteen European countries, representing the
basic sciences as well as a spectrum of clinical dis ciplines, met
to evolve a Consensus Document on the subject with specific recom
mendations. The Document, which is reproduced in the first section
of this book, does not of course necessarily represent the
unanimous view of all those who participated in its compilation;
however it is agreed that it does represent a con sensus or
majority view. It was also noted that the comments and recommenda
tions in the document should be taken as a whole, and are not
intended to dictate the only correct approach to individual
treatment.
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