Angiosome revascularization of foot in patients with diabetes
DOI:
https://doi.org/10.24144/2415-8127.2020.61.30-33Keywords:
the diabetes, the tibial artery occlusive disease (stenosis), the revascularization of the arteries, the angiosome’s theory, the artery duplex scanning.Abstract
For the last observation of the research result, there has been presented 35 patients with diabetes with atherosclerotic lesions of the fibular artery Chroniclimb-threateningischaemia (CLTI) with trophic foot changestheWound, Ischaemiaandfoot- Infection (WIfI) 3-4 degrees, which have been made 55 surgical interventions for 25 men (71,4%) and for 10 women (28,6%); the average age more or then was68 years old [7]. The mentioning patients used to be made artery ultrasound duplex scanning. According to the results of the revascularization, we identified 3 groups:angisome-directed revascularization (16 patients); 40% of the surgical interventions(22 patients). Angisome-indirect revascularization(16 patients); 50,9% of the surgical interventions(28 patients). Non-angiosome revascularization (3 patients); 9,1% of the surgical interventions (5 patients). There were participated 16 patients in the first group of patients; 2 (12,5%) from them were participated in the repeated surgical interventions to improvement of the blood circulation in the affected lower limb. The major part of amputation had placed among 6,25 % (one patient) of lower limb. There were participated 16 patients in the second group of patients; 5 (31,25 %) from them had repeated surgical interventions; at last the major part of amputation had placed among 25 % (4 patients); and one person had a healing of trophic foot changes. There were participated 3 patients in the third group of the patients; one (33%) from them had repeated surgical interventions, as the result, the major part of amputation; and one person had healing of trophic foot changes within 2 months; one (33%) from them had fatal injury after 2 months of the operation.
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