Management of leg ulcers in patients with rheumatoid arthritis or systemic sclerosis: The importance of concomitant arterial and venous disease Jürg.

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Presentation transcript:

Management of leg ulcers in patients with rheumatoid arthritis or systemic sclerosis: The importance of concomitant arterial and venous disease Jürg Hafner, MDa, Ernst Schneider, MDb, Günter Burg, MDa, Paolo C. Cassina, MDc Journal of Vascular Surgery Volume 32, Issue 2, Pages 322-329 (August 2000) DOI: 10.1067/mva.2000.106942 Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 A, An extensive lateral leg ulcer in a 63-year-old patient with rheumatoid arthritis and peripheral arterial disease (Tables I and III, patient 2). B, Successful percutaneous transluminal angioplasty of a 5-cm-long occlusion of the superficial femoral artery. C, The healed leg at the 1-year follow-up examination after percutaneous transluminal angioplasty and split skin grafting. Journal of Vascular Surgery 2000 32, 322-329DOI: (10.1067/mva.2000.106942) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 A, A medial leg ulcer in a 48-year-old patient with systemic sclerosis (Tables II and IV, patient 13). Incompetence of the greater saphenous vein was revealed by means of the hand-held Doppler examination. B, Insufficiency of the greater saphenous vein was confirmed by means of retrograde (descending) venography. C, Rapid conservative wound healing took place after saphenectomy. Journal of Vascular Surgery 2000 32, 322-329DOI: (10.1067/mva.2000.106942) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions