Unit:
Speciality Endovascular TechniquesLibrary of the School of Health Sciences
Author:
Μαστοράκη Σωτηρία
Supervisors info:
Καθηγητής Χρήστος Λιάπης, Αν. Καθηγητής Ιωάννης Κακίσης,Επ. Καθηγητής Χρήστος Κλωνάρης
Original Title:
Αγγειοπλαστικές κάτωθεν του βουβωνικού συνδέσμου σε ασθενείς με σακχαρώδη διαβήτη
Translated title:
Peripheral agioplasty in diabetic patients
Summary:
Οbjective. Peripheral vascular disease in diabetic patients constitutes a major
clinical problem and is associated with high morbidity and mortality.
Purpose The aim of this study is to evaluate the effectiveness of peripheral
angioplasty as a first-choice method of revascularization in diabetic patients
with critical limb ischemia.
Methods. This is a review article which describes the data published the last
twenty years about the endovascular treatment of critical limb ischemia in
diabetic patients. We recorded the patency rate of crural vessels, including
the vascular supply of the foot, the rate of restenosis of the vessels, the
rate of limb salvage and the measurement of the ankle-brachial index (ABI) and
transcutaneous oxygen tension (TcPO2).
Results. Endovascular treatment was a feasible and safe technique in most
patients with decrased complications and low mortality. This prosedure, either
transluminal or subintimal was technically successful in the majority of
diabetic patients and subsequently was able to ensure the limb salvage with
statistically significant increase in the ΑΒΙ and TcPO2. Moreover, endovascular
treatment was associated with increasing rates of restenosis of the cruces
arteries and limited cases of major amputation. The results were comparative
between diabetic and no diabetic patients.
Conclusions Endovascular treatment would be the first choice for
revascularization in diabetic ischemic foot.
Keywords:
Diabetic patients, Angioplasty, Diabetic foot, Critical ischemia, Revascularization
