Abstract
The review describes morbidity, mortality and possible complication rates for diabetic patients with peripheral arteries disease. The article demonstrates the modern tendency in the surgical treatment of peripheral arteries atherosclerosis, shows and compares worldwide results of endovascular and open revascularization. The authors have assessed the risk of amputation for patients with diffuse peripheral arteries disease and described basic treatment principals for better chronic ischemic ulcer healing.
Highlights
More than 170 million people worldwide suffer from diabetes mellitus (DM)
It is proved that the presence of diabetes increases the risk of vascular complications 5 times relative to patients without it
If the patient complains of classic pains in the lower extremities when walking, it is necessary to conduct tests for ischemia, and for neuropathy in the legs, since the latter can cause similar clinical symptoms [4]
Summary
An increase in the frequency of use of the hybrid approach to surgical treatment to date has demonstrated that after initial shunting with an inadequate distal bed (on the foot), repeated angioplasty showed a higher perfusion rate and TCT level during recanalization of the foot arteries than with isolated endovascular treatment [51]. To perform revascularization in patients with critical lower limb ischemia, it is possible to apply this method of surgical intervention, it is associated with a relatively high frequency of need for additional intervention in the future (freedom from amputations of 40% for 10 years in the presence of trophic changes in the leg).
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