Salvage percutaneous transluminal angioplasty of the superficial femoral artery in the diabetic foot with deteriorating limb ischemia.

IF 1.4 4区医学 Q3 DERMATOLOGY Wounds : a compendium of clinical research and practice Pub Date : 2023-08-01

Chi Young Bang, Chanho Jeong, Seung Ho Lee, Kunyong Sung, Bong-Ki Lee, Sang-Yeul Lee

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引用次数: 0

Abstract

Introduction: PAD frequently co-occurs with diabetes, often leading to chronic nonhealing wounds. Foot gangrene and amputation are common outcomes of untreated CLI.

Case report: A 67-year-old male with diabetes and deteriorating limb ischemia following surgical stress underwent successful surgical repair after emergency PTA of the SFA for extensive heel necrosis. After surgical debridement of necrotic heel tissue, the ABI on the affected side suddenly reduced to 0.36, but it improved to 1.06 at 4 weeks following stenting angioplasty, allowing the subsequent flap surgery to repair the heel defect. At the 1-year follow-up visit, the patient exhibited durable heel coverage and the restoration of weightbearing function. No signs or symptoms indicative of restenosis were evident in the blood vessel treated with stent angioplasty.

Conclusion: This case highlights the importance of proper evaluation of critical ischemic conditions and the need for prompt endovascular interventions in preserving the at-risk diabetic foot.

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经皮股浅动脉腔内血管成形术治疗糖尿病足伴肢体缺血恶化。

前言:PAD常与糖尿病并发，常导致慢性伤口不愈合。足坏疽和截肢是未经治疗的CLI的常见结果。病例报告:一名67岁男性糖尿病患者，手术应激后肢体缺血恶化，在SFA紧急PTA治疗大面积足跟坏死后成功手术修复。在对坏死的足跟组织进行手术清创后，患侧ABI突然降至0.36，但在血管支架成形术后4周，ABI改善至1.06，允许后续皮瓣手术修复足跟缺损。在1年的随访中，患者表现出持久的足跟覆盖和负重功能的恢复。经支架成形术治疗的血管无明显再狭窄的体征或症状。结论:本病例强调了正确评估严重缺血状况的重要性，以及及时进行血管内干预以保护糖尿病足的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.