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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Main Authors: Olga Nikolaevna Bondarenko, Gagik Radikovich Galstyan, Ivan Ivanovich Dedov
Format: Article
Language:English
Published: Endocrinology Research Centre 2015-10-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/6859
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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
collection DOAJ
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.
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spelling doaj-art-3215959cfe7e4a8c823e9b9f75d64ec52025-08-20T01:57:09ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782015-10-01183576910.14341/DM2015357-696803The clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetesOlga Nikolaevna Bondarenko0Gagik Radikovich Galstyan1Ivan Ivanovich Dedov2Endocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreRecent 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.https://www.dia-endojournals.ru/jour/article/view/6859diabetescritical limb ischemiaendovascular revascularizationarterial patencylimb salvage
spellingShingle 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
Сахарный диабет
diabetes
critical limb ischemia
endovascular revascularization
arterial patency
limb salvage
title 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_short 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
topic diabetes
critical limb ischemia
endovascular revascularization
arterial patency
limb salvage
url https://www.dia-endojournals.ru/jour/article/view/6859
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