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Aortic Type
This occlusion
is found below the renal artery exit. This form
is responsible for just 3% to 6% of the obliterations
of the lower extremities. A segmental occlusion
of the aortoiliac region is to be considered when:
it involves a young patient (< 50 years of
age); there is claudication of the hips, of the buttocks
and of the back; only minimal discolorations and
temperature changes are evident; the femoral arterial
pulse is weakly palpable; and all peripheral pulses
are lacking.
Pelvic Type
The occlusive processes
lie frequently in the external, common
and / or internal iliac aorta. Intermittent claudication
exists in the pelvic area and in the thighs, less
frequently in the calves. Pain at rest and necroses
are rare.
Upper Leg
In the thigh type occlusions are found
in the area of the superficial femoral artery
and the deep femoral artery. In 50% of all cases,
it is the most frequently found type of occlusion
and is mostly found in patients over 60 years
of age.
The most important symptom is the intermittent
claudication of the calves. No pulse can be felt
below the femoral artery.
Lower Leg
These occlusions are located
in the popliteal artery, posterior tibial artery,
or the anterior fibular artery. As a symptom,
the intermittent claudication affects the instep
of the foot or the toes. Insufficient colateral
formation can lead to necroses at the end of the
phalanges and also lead to problems with toenail
growth. The peripheral pulse is lacking. |