Journal «Angiology and Vascular Surgery» • 

2012 • VOLUME 18 • №2

Peculiarities of arterial lesions in patients with critical ischaemia on the background of diabetic foot syndrome

Ignatovich I.N., Kondratenko G.G., Leonovich S.L.

Byelorussian State Medical University, Minsk, Republic of Belarus

The authors investigated peculiarities of occlusive and stenotic arterial lesions influencing the pattern of revascularization in patients presenting with a neuroischaemic form of diabetic foot syndrome.

We examined a total of 106 patients with a neuroischaemic form of diabetic foot syndrome and undergoing treatment at the City Municipal Centre for Diabetic Foot in the City of Minsk. In order to visualize the arteries in 82 (77.4%) cases we used contrast-enhanced angiography, in 16 (15.1%) cases – CT angiography, and in 8 (7.5%) cases a combination of the both methods was used. The overwhelming majority of patients were found to have distal occlusion with lesions of three and two crural arteries. Standard approaches made it possible to perform revascularization only in 46 (43.9%) patients in the examined group.

A promising trend of improving rendering care for patients with a neuroischaemic form of diabetic foot syndrome and decreasing the rate of high amputations consists in thrther development and implementation of hybrid technologies of limb revascularization, as well as adequate material and technical provision of such interventions.

KEY WORDS: diabetic foot syndrome, revascularization, artery.

P. 15-19

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