[Arterial reconstruction in arteriopathic diabetic perforating ulcer--is it effective? Revascularization in diabetes mellitus and peripheral arterial occlusive disease].
OBJECTIVE
In the present study long-term patency and limb-salvage rates of femoro-distal bypasses were compared for patients suffering from PAOD stage III and IV with and without DM.


METHODS
Between 1990 and 1994, some 192 femoro-crural bypass procedures were performed; 132 reconstructions were carried out on patients with PAOD, 60 bypasses on patients with PAOD and DM. The two groups did not differ significantly regarding age, gender and risk pattern.


RESULTS
The comparison of the two groups showed a significant advantage for the diabetic patients regarding the limb-salvage rate. In both groups there was also a significant difference regarding patency in favour of the diabetics.


CONCLUSIONS
Patients suffering from DM and PAOD profit from femoro-distal bypasses. An aggressive vasosurgical reconstructive therapy is indicated for these patients.
Debus
E S
ES
Chirurgische Klinik und Poliklinik, Universitätsklinikum Würzburg.
Timmermann
W
W
Sailer
M
M
Schmidt
K
K
Reith
H B
HB
Franke
S
S
D000368:Aged; D000671:Amputation, Surgical; D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003925:Diabetic Angiopathies / Q000209:etiology / Q000601:surgery*; D017719:Diabetic Foot / Q000209:etiology / Q000601:surgery*; D005260:Female; D005528:Foot / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome; D014680:Veins / Q000637:transplantation*
D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene
Die arterielle Rekonstruktion beim arteriopathischen diabetischen Malum perforans--lohnt sich der Aufwand? Revaskularisation bei Diabetes mellitus und pAVK.