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Review Article

. 2013; 4(2): 79-83


Surgical revascularization techniques for diabetic foot

Siva Krishna Kota, Sunil Kumar Kota, Lalit Kumar Meher, Satyajit Sahoo, Sudeep Mohapatra,Kirtikumar Dharmsibhai Modi.

Abstract
Diabetes is an important risk factor for atherosclerosis. The diabetic foot is characterized by the presence
of arteriopathy and neuropathy. The vascular damage includes non-occlusive microangiopathy and
macroangiopathy. Diabetic foot wounds are responsible for 5e10% of the cases of major or minor amputations.
In fact, the risk of amputation of the lower limbs is 15e20% higher in diabetic populations than
in the general population. The University of Texas classification is the reference classification for diabetic
wounds. It distinguishes non-ischemic wounds from ischemic wounds which are associated with a
higher rate of amputation. The first principles of treatment are the control of pain of an eventual
infection. When ischemia is diagnosed, restoration of pulsatile blood flow by revascularization may be
considered for salvaging the limb. The treatment options are angioplasty with or without stenting and
surgical bypass or hybrid procedures combining the two. Distal reconstructions with anastomosis to the
leg or pedal arteries have satisfactory limb-salvage rates. Subintimal angioplasty is a more recent
endovascular technique. It could be suggested for elderly patients who are believed to be unsuitable
candidates for a conventional bypass or angioplasty. The current article would focus on the various
revascularization procedures.

Key words: Angioplasty Bypass Diabetes Revascularization



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