The role of a specialized approach for patients with diabetes, critical ischaemia and foot ulcers not previously considered for proactive management

Diabet. Med. 28, 1249–1252 (2011) Aims  To analyse the outcome of the proactive management of patients with diabetes, critical limb ischaemia and foot ulcers using percutaneous transluminal angioplasty as the only vascular procedure and adjuvant conservative surgery when indicated. Methods  A retros...

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Veröffentlicht in:Diabetic medicine 2011-10, Vol.28 (10), p.1249-1252
Hauptverfasser: Aragón-Sánchez, J., Maynar-Moliner, M., Pulido-Duque, J. M., Rabellino, M., González, G., Zander, T.
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Sprache:eng
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Zusammenfassung:Diabet. Med. 28, 1249–1252 (2011) Aims  To analyse the outcome of the proactive management of patients with diabetes, critical limb ischaemia and foot ulcers using percutaneous transluminal angioplasty as the only vascular procedure and adjuvant conservative surgery when indicated. Methods  A retrospective study of patients with diabetes included in our database who sought a second opinion in our unit and met the following criteria: foot ulcer and critical limb ischaemia in patients for whom any proactive vascular treatment had not previously been considered by other teams. Results  Twenty patients underwent endovascular procedures. Success was achieved in 19 cases (95%). No post‐operative mortality (within 30 days after the procedure) was found. Additional surgery was required in eight cases (40%): one calcaneal ostectomy and seven minor amputations. The need for surgery was associated with infection (P 
ISSN:0742-3071
1464-5491
DOI:10.1111/j.1464-5491.2011.03367.x