[Ischemic origin of diabetic foot disease. Epidemiology, difficulties of diagnosis, options for prevention and revascularization].
"Diabetic foot" as definition covers a multifactorial clinical condition. According to the recent epidemiological data, the role of lower limb ischemia is getting more influential over other pathological causes, like neuropathy, infections and bone or soft tissue deformity. In diabetes, vascular disease leads to increased risk for leg ulcers and minor or major amputations. The traditional diagnostic tools for recognition of peripheral arterial disease have limited value because of diabetes specific clinical manifestations. Available vascular centers with special expertise and diagnostic tools are the prerequisite for efficient diagnosis supporting timely recognition of peripheral arterial disease. In course of treatment of diabetic foot with ischemic origin, beyond effective medical treatment revascularization (open vascular surgery or endovascular procedures) has paramount importance for prevention of limb loss. Vascular teams of vascular specialists, vascular surgeons and interventional radiologist in dedicated centers in multidisciplinary cooperation with other professions represent public health issue in effective prevention. Orv. Hetil., 2017, 158(6), 203-211.
Angiológia, Szent Imre Egyetemi Oktatókórház Budapest, Tétényi út 12-16., 1115.
Endre
E
Kolossváry
Általános Orvostudományi Kar, Radiológiai Klinika, Semmelweis Egyetem Budapest.
Zoltán
Z
Bánsághi
Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem Budapest.
Gábor Viktor
GV
Szabó
Kardiológia, Szent Imre Egyetemi Oktatókórház Budapest.
Zoltán
Z
Járai
Angiológia, Szent Imre Egyetemi Oktatókórház Budapest, Tétényi út 12-16., 1115.
Katalin
K
Farkas
D015897:Comorbidity; D003925:Diabetic Angiopathies / Q000175:diagnosis / Q000453:epidemiology; D017719:Diabetic Foot / Q000175:diagnosis* / Q000453:epidemiology* / Q000503:physiopathology; D005528:Foot / Q000098:blood supply*; D006801:Humans; D058729:Peripheral Arterial Disease / Q000175:diagnosis* / Q000453:epidemiology*
alsó végtagi amputáció; diabeteses láb; diabetic foot; lower limb amputation; perifériás érbetegség; peripheral arterial disease