Peculiarities of arterial lesions in patients with critical ischaemia on the background of diabetic foot syndrome

The authors investigated peculiarities of occlusive and stenotic arterial lesions influencing the pattern of revascularization in patients presenting with a neuroischaemic form of diabetic foot syndrome. We examined a total of 106 patients with a neuroischaemic form of diabetic foot syndrome and und...

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Bibliographic Details
Published inAngiologii͡a︡ i sosudistai͡a︡ khirurgii͡a Vol. 18; no. 2; p. 15
Main Authors Ignatovich, I N, Kondratenko, G G, Leonovich, S I
Format Journal Article
LanguageRussian
Published Russia (Federation) 2012
Subjects
Aged
Aged, 80 and over
Angiography - methods
Arteries - physiopathology
Arteries - surgery
Diabetic Foot - diagnosis
Diabetic Foot - etiology
Diabetic Foot - physiopathology
Diabetic Foot - surgery
Diabetic Neuropathies - complications
Diabetic Neuropathies - physiopathology
Female
Humans
Ischemia - complications
Ischemia - physiopathology
Limb Salvage - methods
Lower Extremity - blood supply
Male
Middle Aged
Prognosis
Regional Blood Flow
Severity of Illness Index
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:The authors investigated peculiarities of occlusive and stenotic arterial lesions influencing the pattern of revascularization in patients presenting with a neuroischaemic form of diabetic foot syndrome. We examined a total of 106 patients with a neuroischaemic form of diabetic foot syndrome and undergoing treatment at the City Municipal Centre for Diabetic Foot in the City of Minsk. In order to visualize the arteries in 82 (77.4%) cases we used contrast-enhanced angiography, in 16 (15.1%) cases - CT angiography, and in 8 (7.5%) cases a combination of the both methods was used. The overwhelming majority of patients were found to have distal occlusion with lesions of three and two crural arteries. Standard approaches made it possible to perform revascularization only in 46 (43.9%) patients in the examined group. A promising trend of improving rendering care for patients with a neuroischaemic form of diabetic foot syndrome and decreasing the rate of high amputations consists in thrther development and implementation of hybrid technologies of limb revascularization, as well as adequate material and technical provision of such interventions.
ISSN:1027-6661