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SURGICAL: Other Vascular Procedures with CC

^Arterial occlusive disease, and in particular peripheral arterial occlusive disease (PAOD), is characterized by reduced blood flow through the major blood vessels of the body because of an obstruction or narrowing of the lumen of the aorta and its major branches. Changes in the arterial wall include the accumulation of lipids, calcium, blood components, carbohydrates, and fibrous tissue in the endothelial lining. Arterial occlusive disease, which may be chronic or acute, may affect the celiac, mesenteric, innominate, subclavian, carotid, and vertebral arteries. Arterial disorders that may lead to arterial obstruction include arteriosclerosis obliterans, throm-boangiitis obliterans, arterial embolism, and an aneurysm of the lower extremity. A sudden occlusion usually causes tissue ischemia and death, whereas a gradual blockage allows for the development of collateral vessels. Usually, arterial occlusive diseases are only part of a complex disease syndrome that affects the entire body. Complications include severe ischemia, skin ulceration, gangrene, leg amputation, and sepsis.

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