Ischemic origin of diabetic foot disease. Epidemiology, difficulties of diagnosis, options for prevention and revascularization

被引:21
作者
Kolossvary Endre [1 ]
Bansaghi Zoltan [3 ]
Szabo Gabor Viktor [4 ]
Jarai Zoltan [2 ]
Farkas Katalin [1 ]
机构
[1] Szent Imre Egyetemi Oktatokorhaz, Angiol, Budapest, Hungary
[2] Szent Imre Egyetemi Oktatokorhaz, Kardiol, Budapest, Hungary
[3] Semmelweis Egyetem, Altalanos Orvostudomanyi Kar, Radiol Klin, Budapest, Hungary
[4] Varosmajori Sziv & Ergyogyaszati Klin, Ersebeszet Tanszek, Budapest, Hungary
关键词
diabetic foot; peripheral arterial disease; lower limb amputation; PERIPHERAL ARTERIAL-DISEASE; ANKLE-BRACHIAL INDEX; CONTINUOUS-WAVE DOPPLER; LOWER-EXTREMITY; VASCULAR-DISEASE; RISK-FACTORS; ULCERS; OUTCOMES;
D O I
10.1556/650.2017.30649
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
"Diabetic foot" as definition covers a multifactorial clinical condition. According to the recent epidemiological data, the role of lower limb ischemia is getting more influential over other pathological causes, like neuropathy, infections and bone or soft tissue deformity. In diabetes, vascular disease leads to increased risk for leg ulcers and minor or major amputations. The traditional diagnostic tools for recognition of peripheral arterial disease have limited value because of diabetes specific clinical manifestations. Available vascular centers with special expertise and diagnostic tools are the prerequisite for efficient diagnosis supporting timely recognition of peripheral arterial disease. In course of treatment of diabetic foot with ischemic origin, beyond effective medical treatment revascularization (open vascular surgery or endovascular procedures) has paramount importance for prevention of limb loss. Vascular teams of vascular specialists, vascular surgeons and interventional radiologist in dedicated centers in multidisciplinary cooperation with other professions represent public health issue in effective prevention.
引用
收藏
页码:203 / 211
页数:9
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