Features of revascularization of the lower extremity in patients with diabetic foot

Abstract

Objective: To determine specific features of peripheral arterial diseases in patients with diabetic foot that influence the choice of revascularization method.
 Introduction. Peripheral arterial diseases in patients with diabetic foot (PAD/DF) have significant differences in pathogenesis, manifestations and course compared with peripheral arterial diseases (PAD). These differences cause creating classifications to access severity PAD/DF and PAD separately. But approaches to revascularizations in PAD/DF and PAD remain the same.
 The choice of revascularization method taking into account the features can significantly improve its results.
 Materials and methods. We analyzed results of 98 revascularizations of 77 lower extremities in 74 patients in the period from 2014 to 2019рр. Angioplasties were performed 72,3%, open operations – 21,4%, hybrid procedures 6,1%.
 Results. Amputation-free survival during the year was 84,6%. Healing of trophic disorders during the year was 70,5%.
 Conclusions. At the diagnostic stage, patients with PAD and PAD / DM should be separated for creating the optimal treatment plan and the choice of revascularization technique. Different approaches to the PAD/DF patients can improve the results of revascularizations.
 Abbreviations and defititions
 PAD (peripheral arterial diseases) - atherosclerotic occlusive diseases of the lower extremity arteries.
 DF (diabetic foot) - infection, ulceration or destruction of tissues of the foot associated with neuropathy and/or peripheral artery disease in the lower extremity of a person with (a history of) diabetes mellitus.
 PAD/DF - peripheral arterial diseases in persons with diabetes mellitus.