1. Endovascular treatment of diabetic foot in a selected population of patients with below-the-knee disease: is the angiosome model effective?
- Author
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Giuseppe Guzzardi, Alessandro Carriero, Marco De Bonis, Rita Fossaceca, Alessandro Stecco, Marco Perchinunno, Claudio Cusaro, Paolo Cerini, and Giuseppe Parziale
- Subjects
Male ,medicine.medical_specialty ,Percutaneous ,medicine.medical_treatment ,Population ,Revascularization ,Amputation, Surgical ,Postoperative Complications ,Recurrence ,Risk Factors ,Angioplasty ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Oximetry ,education ,Aged ,Retrospective Studies ,Ultrasonography ,education.field_of_study ,Leg ,Wound Healing ,business.industry ,Mortality rate ,Retrospective cohort study ,medicine.disease ,Limb Salvage ,Diabetic foot ,Diabetic Foot ,Surgery ,Treatment Outcome ,Amputation ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
To evaluate the efficacy of percutaneous transluminal angioplasty (PTA) in a selected population of diabetic patients with below-the-knee (BTK) disease and to analyze the reliability of the angiosome model. We made a retrospective analysis of the results of PTA performed in 201 diabetic patients with BTK-only disease treated at our institute from January 2005 to December 2011. We evaluated the postoperative technical success, and at 1, 6, and 12 months’ follow-up, we assessed the rates and values of partial and complete ulcer healing, restenosis, major and minor amputation, limb salvage, and percutaneous oximetry (TcPO2) (Student’s t test). We used the angiosome model to compare different clinicolaboratory outcomes in patients treated by direct revascularization (DR) from patients treated with indirect revascularization (IR) technique by Student’s t test and the χ2 test. At a mean ± standard deviation follow-up of 17.5 ± 12 months, we observed a mortality rate of 3.5 %, a major amputation rate of 9.4 %, and a limb salvage rate of 87 % with a statistically significant increase of TcPO2 values at follow-up compared to baseline (p
- Published
- 2012