The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus

• Published in: Klinična hìrurgìâ (Kiïv) Vol. 87; no. 3-4; pp. 55 - 58
• Main Authors: Gupalo, Yu. M., Shapovalov, D. Yu, Shaprynskyi, V. V., Dzygal, O. F., Shamray-Sas, A. V., Kucyn, A. M.
• Format: Journal Article
• Language: English; Russian
• Published: Liga-Inform ltd 26.06.2020
• Subjects: ischemia; diabetes mellitus; revascularization; roentgen-endovascular interventions; the angiosome concept; purulent-necrotic affections of foot
• ISSN: 0023-2130; 2522-1396
• DOI: 10.26779/2522-1396.2020.3-4.55

Objective. To analyze the results of revascularization of the shin and foot arteries in patients with diabetes mellitus in accordance to the angiosome concept. Materials and methods. Results of roentgen-endovascular interventions on 71 lower extremities, performed in 48 patients, suffering diabetes mellitus and ischemia, menaced for the extremity loss, were analyzed. All the patients had purulent-necrotic affections of the foot Degree III-IV in accordance to classification of WIFI (Wound, Ishemia and Foot Infection). In accordance to anatomic zones of revascularization all roentgen-endovascular interventions were divided into three groups: Group I - 24 (33.8%) direct angiosomic revascularizations, Group II - 38 (53.5%) indirect angiosomic revascularizations, Group III - 9 (12.7%) nonangiosomic revascularizations. Results. There was established, that following the angiosome concept raises possibility of preservation of the lower extremity (92.9%) comparing with nonangiosomic revascularization (77.8%). Conclusion. Efficacy of revascularization of the shin arteries with occlusion-stenotic lesions is significantly higher while restoration of the blood flow in accordance to the angiosome concept.