The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus
Objective. To analyze the results of revascularization of the shin and foot arteries in patients with diabetes mellitus in accordance to the angiosome concept. Materials and methods. Results of roentgen-endovascular interventions on 71 lower extremities, performed in 48 patients, suffering diabet...
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| Format: | Article |
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Liga-Inform ltd.
2020-06-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/807 |
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| author | Yu. M. Gupalo D. Yu. Shapovalov V. V. Shaprynskyi O. F. Dzygal A. V. Shamray-Sas A. M. Kucyn |
| author_facet | Yu. M. Gupalo D. Yu. Shapovalov V. V. Shaprynskyi O. F. Dzygal A. V. Shamray-Sas A. M. Kucyn |
| author_sort | Yu. M. Gupalo |
| collection | DOAJ |
| description | Objective. To analyze the results of revascularization of the shin and foot arteries in patients with diabetes mellitus in accordance to the angiosome concept.
Materials and methods. Results of roentgen-endovascular interventions on 71 lower extremities, performed in 48 patients, suffering diabetes mellitus and ischemia, menaced for the extremity loss, were analyzed. All the patients had purulent-necrotic affections of the foot Degree III-IV in accordance to classification of WIFI (Wound, Ishemia and Foot Infection). In accordance to anatomic zones of revascularization all roentgen-endovascular interventions were divided into three groups: Group I - 24 (33.8%) direct angiosomic revascularizations, Group II - 38 (53.5%) indirect angiosomic revascularizations, Group III - 9 (12.7%) nonangiosomic revascularizations.
Results. There was established, that following the angiosome concept raises possibility of preservation of the lower extremity (92.9%) comparing with nonangiosomic revascularization (77.8%).
Conclusion. Efficacy of revascularization of the shin arteries with occlusion-stenotic lesions is significantly higher while restoration of the blood flow in accordance to the angiosome concept. |
| format | Article |
| id | doaj-art-7e617c727a0840ab908331a665b8dba1 |
| institution | Kabale University |
| issn | 0023-2130 2522-1396 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj-art-7e617c727a0840ab908331a665b8dba12025-08-20T03:33:39ZengLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-06-01873-4555810.26779/2522-1396.2020.3-4.55807The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitusYu. M. Gupalo0D. Yu. Shapovalov1V. V. Shaprynskyi2O. F. Dzygal3A. V. Shamray-Sas4A. M. Kucyn5Scientific-Practical Centre of Prophylactic and Clinical Medicine, KyivScientific-Practical Centre of Prophylactic and Clinical Medicine, KyivScientific-Practical Centre of Prophylactic and Clinical Medicine, KyivOdessa National Medical UniversityScientific-Practical Centre of Prophylactic and Clinical Medicine, KyivScientific-Practical Centre of Prophylactic and Clinical Medicine, KyivObjective. To analyze the results of revascularization of the shin and foot arteries in patients with diabetes mellitus in accordance to the angiosome concept. Materials and methods. Results of roentgen-endovascular interventions on 71 lower extremities, performed in 48 patients, suffering diabetes mellitus and ischemia, menaced for the extremity loss, were analyzed. All the patients had purulent-necrotic affections of the foot Degree III-IV in accordance to classification of WIFI (Wound, Ishemia and Foot Infection). In accordance to anatomic zones of revascularization all roentgen-endovascular interventions were divided into three groups: Group I - 24 (33.8%) direct angiosomic revascularizations, Group II - 38 (53.5%) indirect angiosomic revascularizations, Group III - 9 (12.7%) nonangiosomic revascularizations. Results. There was established, that following the angiosome concept raises possibility of preservation of the lower extremity (92.9%) comparing with nonangiosomic revascularization (77.8%). Conclusion. Efficacy of revascularization of the shin arteries with occlusion-stenotic lesions is significantly higher while restoration of the blood flow in accordance to the angiosome concept.https://hirurgiya.com.ua/index.php/journal/article/view/807ischemia; diabetes mellitus; revascularization; roentgen-endovascular interventions; the angiosome concept; purulent-necrotic affections of foot. |
| spellingShingle | Yu. M. Gupalo D. Yu. Shapovalov V. V. Shaprynskyi O. F. Dzygal A. V. Shamray-Sas A. M. Kucyn The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus Клінічна хірургія ischemia; diabetes mellitus; revascularization; roentgen-endovascular interventions; the angiosome concept; purulent-necrotic affections of foot. |
| title | The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus |
| title_full | The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus |
| title_fullStr | The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus |
| title_full_unstemmed | The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus |
| title_short | The angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus |
| title_sort | angiosome concept in revascularization of the shin and foot arteries in patients with diabetes mellitus |
| topic | ischemia; diabetes mellitus; revascularization; roentgen-endovascular interventions; the angiosome concept; purulent-necrotic affections of foot. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/807 |
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