title: [Critical limb ischaemia: endovascular treatment in diabetic patients?].
abstract: 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.
authors.affiliation: Radiologie cardiovasculaire, Hôpital européen Georges Pompidou, Paris. bernard.beyssen@egp.ap-hop-paris.fr
authors.forename: B
authors.initials: B
authors.lastname: Beyssen
authors.forename: J Y
authors.initials: JY
authors.lastname: Pagny
authors.forename: A
authors.initials: A
authors.lastname: Piquois
authors.forename: A
authors.initials: A
authors.lastname: Raynaud
authors.forename: M
authors.initials: M
authors.lastname: Sapoval
mesh_terms: D017130:Angioplasty; D016638:Critical Illness; D003925:Diabetic Angiopathies / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D015607:Stents