{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/42712"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/42712","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Femoro-distal bypass surgery at Groote Schuur Hospital: a 4-year retrospective study","abstract":"The term \"critical limb ischemia\", while only defined in recent years by international consensus and objective arterial pressure measurements, has been recognized by surgeons since the dawn of reconstructive vascular surgery fifty years ago. Patients present with increasingly severe and intolerable ischemic rest pain involving a single toe or the entire forefoot. There is usually a preceding history of progressively worsening claudication. Ischemic rest pain is worse at night; it is not relieved by over-the-counter analgesics and eventually dominates the patient's existence. On presentation, these patients frequently exhibit tissue loss, gangrene, ischemic ulceration and forefoot infection. Critical limb ischemia represents the end stage of lower limb atherosclerotic disease, and multi-segmented arterial occlusion is the rule on angiogram.","abstract_html":"The term "critical limb ischemia", while only defined in recent years by international consensus and objective arterial pressure measurements, has been recognized by surgeons since the dawn of reconstructive vascular surgery fifty years ago. Patients present with increasingly severe and intolerable ischemic rest pain involving a single toe or the entire forefoot. There is usually a preceding history of progressively worsening claudication. Ischemic rest pain is worse at night; it is not relieved by over-the-counter analgesics and eventually dominates the patient's existence. On presentation, these patients frequently exhibit tissue loss, gangrene, ischemic ulceration and forefoot infection. Critical limb ischemia represents the end stage of lower limb atherosclerotic disease, and multi-segmented arterial occlusion is the rule on angiogram.","abstract_has_math":false,"creators":["Mwipatayi, Bibombe Patrice"],"institution":"Division of General Surgery","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Jeffery, Peter","Kahn, D"],"committee_chairs":[],"committee_members":[],"year":2003,"date_issued":"2003","date_published":"2003","updated_at":"2026-07-22T22:23:00Z","subjects":[],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/42712","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Jeffery, Peter","Kahn, D"]},{"key":"dc:creator","label":"Author","values":["Mwipatayi, Bibombe Patrice"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2026-01-28T07:29:39Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2026-01-28T07:29:39Z"]},{"key":"dc:date.issued","label":"Date","values":["2003"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Division of General Surgery"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["Univesity of Cape Town"]},{"key":"dc:type","label":"Dc Type","values":["Thesis / Dissertation"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters","MMed"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/42712"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The term \"critical limb ischemia\", while only defined in recent years by international consensus and objective arterial pressure measurements, has been recognized by surgeons since the dawn of reconstructive vascular surgery fifty years ago. Patients present with increasingly severe and intolerable ischemic rest pain involving a single toe or the entire forefoot. There is usually a preceding history of progressively worsening claudication. Ischemic rest pain is worse at night; it is not relieved by over-the-counter analgesics and eventually dominates the patient's existence. On presentation, these patients frequently exhibit tissue loss, gangrene, ischemic ulceration and forefoot infection. Critical limb ischemia represents the end stage of lower limb atherosclerotic disease, and multi-segmented arterial occlusion is the rule on angiogram."]},{"key":"dc:title","label":"Title","values":["Femoro-distal bypass surgery at Groote Schuur Hospital: a 4-year retrospective study"]}]}],"canonical_facts":{"dc:contributor.advisor":["Jeffery, Peter","Kahn, D"],"dc:creator":["Mwipatayi, Bibombe Patrice"],"dc:date.accessioned":["2026-01-28T07:29:39Z"],"dc:date.available":["2026-01-28T07:29:39Z"],"dc:date.issued":["2003"],"dc:description.abstract":["The term \"critical limb ischemia\", while only defined in recent years by international consensus and objective arterial pressure measurements, has been recognized by surgeons since the dawn of reconstructive vascular surgery fifty years ago. Patients present with increasingly severe and intolerable ischemic rest pain involving a single toe or the entire forefoot. There is usually a preceding history of progressively worsening claudication. Ischemic rest pain is worse at night; it is not relieved by over-the-counter analgesics and eventually dominates the patient's existence. On presentation, these patients frequently exhibit tissue loss, gangrene, ischemic ulceration and forefoot infection. Critical limb ischemia represents the end stage of lower limb atherosclerotic disease, and multi-segmented arterial occlusion is the rule on angiogram."],"dc:identifier.uri":["http://hdl.handle.net/11427/42712"],"dc:language.iso":["en"],"dc:publisher.department":["Division of General Surgery"],"dc:publisher.institution":["Univesity of Cape Town"],"dc:title":["Femoro-distal bypass surgery at Groote Schuur Hospital: a 4-year retrospective study"],"dc:type":["Thesis / Dissertation"],"dc:type.qualificationlevel":["Masters","MMed"]},"updated_at":"2026-07-22T22:23:00Z"}