Therapeutic effect of endovascular interventional therapy in treating diabetic foot

Abstract

Objective: To explore the methods and clinical effect of endovascular interventional therapy for diabetic foot. Methods: 48 patients with diabetic foot treated in our hospital from January 2014 to January 2016 underwent endovascular interventional therapy accordingly. Results: In the 48 patients, the lower extremity arterial angiography showed a total of 62 stenosis lesions, among which, the middle and lower femoral artery and the popliteal artery showed the highest rate (53.2%) of stenosis. Accordingly, 20 patients underwent endovascular stenting and the other 28 patients (P <0.01) underwent percutaneous transluminal balloon angioplasty. In the follow up after six months of the treatment, the ankle-brachial index (ABI) was significantly higher than that before the treatment (P <0.01), and their clinical symptoms were improved significantly (0.80 ± 0.03 vs. 0.56 ± 0.02). No vascular restenosis or occlusion were observed , the wounds were effectively repaired. Conclusions: Endovascular interventional therapy is a safe and effective strategy in treating diabetic foot. It can be applied on multiple lesions and repeated as an efficient strategy yet with less complications, thus, it has high clinical value. Key words: Diabetic foot; Blood vessel; Endovascular intervention; Ankle brachial index