[The role of revascularization in the foot salvage in patients suffering diabetes mellitus with occlusion-stenotic lesions of the shin arteries].
There were examined 1363 patients suffering diabetes mellitus with trophic ulcer and purulent-necrotic affection of foot. Conservative treatment or operative intervention on the foot were conducted according to indications in 1176 (86.3%) patients, who no needed revascularization. Revascularization was done in 187 (13.7%) patients. Necessity of reconstruction for occlusion-stenotic affection of the shin arteries was established in 125 (66.8%) of them, shunting into the foot arteries was done in 52 (41.6%). High amputation of the limb was performed in 73 (58.4%) of patients in presence of contraindications for the foot revascularization. In 83.5% of patients suffering diabetes mellitus with occlusion-stenotic affection of the shin segment arteries there were two or one passable arteries of foot, fit for shunting operation.
Hupalo
Iu M
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D003251:Constriction, Pathologic / Q000601:surgery; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery*; D005528:Foot / Q000098:blood supply / Q000601:surgery; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D016909:Tibial Arteries / Q000601:surgery*; D016896:Treatment Outcome