Pedal Bypass in the Treatment of Diabetic Gangrene
| Authors | |
|---|---|
| Year of publication | 2003 |
| Type | Article in Periodical |
| Magazine / Source | Cardiovascular Surgery |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | pedal bypass; diabetic gangrene; revascularization |
| Description | The authors present case records of patients with wet diabetic gangrene of the foot in whom amputation of the limb was considered owing to adverse angiographic finding and because all possibilities of conservative therapy have been exhausted. A revision of distal segments of crural and pedal arteries and the subsequent bypass implants reversed the previous adverse development. In all patients, the defects have healed in relatively short time and their limbs were saved. After having described the above-mentioned clinical cases (picture documentation of the foot defects, angiography before and after the surgery), the authors open the discussion of the prospects of vascular surgery in the dealing with the most serious phases of the diabetic leg syndrome. Angiography often does not provide information on the situation in the distant periphery of limb arteries owing to the fact that the contrast medium cannot penetrate there through the stenotic and obliterated arterial sections or because of the summation with the bone shadow opacity. Even in cases of adverse angiographic findings, the authors recommend a revision of distal crural or pedal arteries. |