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Treatment of Multidisciplinary Approach of Critical Ischemic Limb with Diabetic Foot / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society ; : 52-59, 2013.
Artigo em Coreano | WPRIM | ID: wpr-54785
ABSTRACT

PURPOSE:

The purpose of this study is to evaluate treatment results of multidisciplinary approach of critical ischemic limb with diabetic foot. MATERIALS AND

METHODS:

From March 2005 to March 2012, 674 diabetic foot patients were analyzed. Among them, 85 patients were neuroarthropathic type, 383 patients were infectious type, and 206 patients were ischemic type. The subjects were 206 patients who had critical ischemic limbs and major or minor amputations were done. Various single or combined treatment method before amputation was performed. We investigated their ABI, HbA1c, main occlusion lesion, limb salvage and hospitalization period by various treatment method.

RESULTS:

Major amputation was 27 cases, minor amputation was 179 cases. Mean HbA1c was 8.2%, and mean ABI was 0.66. Main occlusion lesion was 6 cases at common iliac artery, 13 cases at external iliac artery, 9 cases at internal iliac artery, 11 cases at common femoral artery, 23 cases at deep femoral artery, 52 cases at superficial femoral artery, 35 cases at popliteal artery, 40 cases at posterior tibia artery, 35 cases at anterior tibial artery, 28 cases at peroneal artery, and 13 cases at dorsalis pedis artery. Major amputations were decreased, minor amputations were increased, and hospitalization period was reduced by treatment of multidisciplinary approach.

CONCLUSION:

Treatment of multidisciplinary approach, which include preoperation percutaneus transluminal angioplasty, vascular surgery, and amputation, of critical ischemic limb with diabetic foot had advantages of limb salvage and hospitalization period reduction.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artéria Poplítea / Artérias / Tíbia / Artérias da Tíbia / Angioplastia / Pé Diabético / Salvamento de Membro / Extremidades / Artéria Femoral / Amputação Cirúrgica Limite: Humanos Idioma: Coreano Revista: Journal of Korean Foot and Ankle Society Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artéria Poplítea / Artérias / Tíbia / Artérias da Tíbia / Angioplastia / Pé Diabético / Salvamento de Membro / Extremidades / Artéria Femoral / Amputação Cirúrgica Limite: Humanos Idioma: Coreano Revista: Journal of Korean Foot and Ankle Society Ano de publicação: 2013 Tipo de documento: Artigo