Results of Infrapopliteal Endovascular Procedures Performed in Diabetic Patients with Critical Limb Ischemia and Tissue Loss from the Perspective of an Angiosome-Oriented Revascularization Strategy
Joint Authors
Varela, César
Bleda, Silvia
Acín, Francisco
López de Maturana, Ignacio
de Haro, Joaquín
Rodriguez-Padilla, Javier
Source
International Journal of Vascular Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-06
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Our aim was to describe our experience with infrapopliteal endovascular procedures performed in diabetic patients with ischemic ulcers and critical ischemia (CLI).
A retrospective study of 101 procedures was performed.
Our cohort was divided into groups according to the number of tibial vessels attempted and the number of patent tibial vessels achieved to the foot.
An angiosome anatomical classification of ulcers were used to describe the local perfusion obtained after revascularization.
Ischemic ulcer healing and limb salvage rates were measured.
Ischemic ulcer healing at 12 months and limb salvage at 24 months was similar between a single revascularization and multiple revascularization attempts.
The group in whom none patent tibial vessel to the foot was obtained presented lower healing and limb salvage rates.
No differences were observed between obtaining a single patent tibial vessel versus more than one tibial vessel.
Indirect revascularization of the ulcer through arterial-arterial connections provided similar results than those obtained after direct revascularization via its specific angiosome tibial artery.
Our results suggest that, in CLI diabetic patients with ischemic ulcers that undergo infrapopliteal endovascular procedures, better results are expected if at least one patent vessel is obtained and flow is restored to the local ischemic area of the foot.
American Psychological Association (APA)
Acín, Francisco& Varela, César& López de Maturana, Ignacio& de Haro, Joaquín& Bleda, Silvia& Rodriguez-Padilla, Javier. 2014. Results of Infrapopliteal Endovascular Procedures Performed in Diabetic Patients with Critical Limb Ischemia and Tissue Loss from the Perspective of an Angiosome-Oriented Revascularization Strategy. International Journal of Vascular Medicine،Vol. 2014, no. 2014, pp.1-13.
https://search.emarefa.net/detail/BIM-459115
Modern Language Association (MLA)
Acín, Francisco…[et al.]. Results of Infrapopliteal Endovascular Procedures Performed in Diabetic Patients with Critical Limb Ischemia and Tissue Loss from the Perspective of an Angiosome-Oriented Revascularization Strategy. International Journal of Vascular Medicine No. 2014 (2014), pp.1-13.
https://search.emarefa.net/detail/BIM-459115
American Medical Association (AMA)
Acín, Francisco& Varela, César& López de Maturana, Ignacio& de Haro, Joaquín& Bleda, Silvia& Rodriguez-Padilla, Javier. Results of Infrapopliteal Endovascular Procedures Performed in Diabetic Patients with Critical Limb Ischemia and Tissue Loss from the Perspective of an Angiosome-Oriented Revascularization Strategy. International Journal of Vascular Medicine. 2014. Vol. 2014, no. 2014, pp.1-13.
https://search.emarefa.net/detail/BIM-459115
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-459115