کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2974264 | 1179332 | 2015 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
La revascularisation distale des diabétiques en ischémie critique
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
Diabetes mellitus is an independent risk factor for peripheral artery disease. Life expectancy is 41Â months for diabetic patients with an ischemic ulcer. The characteristics of diabetic arteriopathy make its treatment more difficult than in non-diabetic patients. Few data are available about the surgical treatment of arteriopathy in diabetic patients (including angioplasty or bypass), especially in case of distal arteriopathy. The choice of the procedure depends on multiple factors such as the disease localization, its extent, distal blood flow and vascular disease-related surgical risk. The principal aim of revascularisation is to restore direct flow to the foot in order to ensure wound healing and limb salvage. With percutaneous endoluminal angioplasty, limb salvage can be achieved in more than 80Â % of patients at 1-3Â years. The percutaneous procedure is less invasive than open surgery, there are fewer complications, and morbidity and mortality rates are reduced; moreover, a second procedure remains possible in the future. With bypass surgery, the rate of limb salvage exceeds 80Â % at five years. Nevertheless, peri-operative mortality reaches 3Â % and arterial anatomy, patient-related risks factors or venous graft availability may be limitations. New endovascular techniques especially designed for the distal arteries of the lower limbs enable very distal revascularization with morbidity and mortality rates lower than with surgery.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal des Maladies Vasculaires - Volume 40, Issue 1, February 2015, Pages 24-36
Journal: Journal des Maladies Vasculaires - Volume 40, Issue 1, February 2015, Pages 24-36
نویسندگان
M.-C. Courtois, M. Sapoval, C. Del Giudice, R. Ducloux, T. Mirault, E. Messas,