[Critical limb ischaemia: endovascular treatment in diabetic patients?].
Endovascular treatment has an increasing role in the treatment of patients with critical limb ischemia, particularly in diabetic patients with a majority of infrapopliteal lesions. The aim of the procedure is to obtain a "straight-line flow to the foot" by treating all the significant stenoses and short occlusions that impair distal vascularization. Stents are indicated when there is a suboptimal results following balloon angioplasty (recoil or dissection). Restenosis rate after primary stenting for long lesion is high. Angioplasty is a safe and effective procedure, allowing limb salvage rate in a majority of the cases with a low mortality and morbidity rate.
Beyssen
B
B
Radiologie cardiovasculaire, Hôpital européen Georges Pompidou, Paris. bernard.beyssen@egp.ap-hop-paris.fr
Pagny
J Y
JY
Piquois
A
A
Raynaud
A
A
Sapoval
M
M
D017130:Angioplasty; D016638:Critical Illness; D003925:Diabetic Angiopathies / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D015607:Stents