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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Endocrinology Research Centre
2015
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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) |
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diabetes critical limb ischemia endovascular revascularization arterial patency limb salvage Nutritional diseases. Deficiency diseases RC620-627 |
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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 |
work_keys_str_mv |
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