The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes

Recent data suggest that chronic critical limb ischaemia (CLI) is the most important reason for amputation among diabetic patients. The high prevalence of CLI in this patient group is associated with specific clinical and morphological properties of peripheral arterial disease. Percutaneous translum...

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Autores principales: Olga Nikolaevna Bondarenko, Gagik Radikovich Galstyan, Ivan Ivanovich Dedov
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RU
Publicado: Endocrinology Research Centre 2015
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Acceso en línea:https://doaj.org/article/3215959cfe7e4a8c823e9b9f75d64ec5
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spelling oai:doaj.org-article:3215959cfe7e4a8c823e9b9f75d64ec52021-11-14T09:00:19ZThe clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes2072-03512072-037810.14341/DM2015357-69https://doaj.org/article/3215959cfe7e4a8c823e9b9f75d64ec52015-10-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6859https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Recent data suggest that chronic critical limb ischaemia (CLI) is the most important reason for amputation among diabetic patients. The high prevalence of CLI in this patient group is associated with specific clinical and morphological properties of peripheral arterial disease. Percutaneous transluminal angioplasty is an appropriate primary therapy, but it is not considered early in the disease process, and is instead reserved as a limb salvage strategy. Low primary patency, despite optimal clinical effects, remains a typical issue of percutaneous transluminal angioplasty for diabetic patients in particular. Thus, the indications, technical success and clinical results of endovascular revascularisation need to be clarified in patients with diabetes. Although difficult, the procedure can be effective through a multidisciplinary approach.Olga Nikolaevna BondarenkoGagik Radikovich GalstyanIvan Ivanovich DedovEndocrinology Research Centrearticlediabetescritical limb ischemiaendovascular revascularizationarterial patencylimb salvageNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 18, Iss 3, Pp 57-69 (2015)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes
critical limb ischemia
endovascular revascularization
arterial patency
limb salvage
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes
critical limb ischemia
endovascular revascularization
arterial patency
limb salvage
Nutritional diseases. Deficiency diseases
RC620-627
Olga Nikolaevna Bondarenko
Gagik Radikovich Galstyan
Ivan Ivanovich Dedov
The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
description Recent data suggest that chronic critical limb ischaemia (CLI) is the most important reason for amputation among diabetic patients. The high prevalence of CLI in this patient group is associated with specific clinical and morphological properties of peripheral arterial disease. Percutaneous transluminal angioplasty is an appropriate primary therapy, but it is not considered early in the disease process, and is instead reserved as a limb salvage strategy. Low primary patency, despite optimal clinical effects, remains a typical issue of percutaneous transluminal angioplasty for diabetic patients in particular. Thus, the indications, technical success and clinical results of endovascular revascularisation need to be clarified in patients with diabetes. Although difficult, the procedure can be effective through a multidisciplinary approach.
format article
author Olga Nikolaevna Bondarenko
Gagik Radikovich Galstyan
Ivan Ivanovich Dedov
author_facet Olga Nikolaevna Bondarenko
Gagik Radikovich Galstyan
Ivan Ivanovich Dedov
author_sort Olga Nikolaevna Bondarenko
title The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
title_short The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
title_full The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
title_fullStr The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
title_full_unstemmed The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
title_sort clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetes
publisher Endocrinology Research Centre
publishDate 2015
url https://doaj.org/article/3215959cfe7e4a8c823e9b9f75d64ec5
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