| Blood supply reconstruction technology and treatment strategy of lower limbs in diabetes foot |
| Received:January 30, 2023 Revised:February 14, 2023 Click here to download the full text |
| Citation of this paper:LIN Xue-guang,CHEN Bo,JIANG Shuai,LI Jia-long,DENG Ying,TANG Jing-dong,SHI Wei-hao.Blood supply reconstruction technology and treatment strategy of lower limbs in diabetes foot[J].Chinese Journal of Clinical Medicine,2023,30(1):4-11 |
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| Author Name | Affiliation | E-mail | | LIN Xue-guang | Department of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai 201399, China | | | CHEN Bo | Department of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai 201399, China | | | JIANG Shuai | Department of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai 201399, China | | | LI Jia-long | Department of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai 201399, China | | | DENG Ying | Department of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai 201399, China | | | TANG Jing-dong | Department of Vascular Surgery, Pudong Hospital, Fudan University, Shanghai 201399, China | | | SHI Wei-hao | Department of Vascular Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China | vascular741021@163.com |
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| Abstract:Chronic limb-threatening ischemia (CLTI) in people with diabetes is on the rise as the prevalence of diabetes increases. Symptoms or signs of peripheral arterial disease (PAD) can be observed in up to 50% of patients with diabetic foot ulcers, and PAD is also a risk factor for poor wound healing and amputation. Treatment of PAD patients with diabetes is more difficult because they are more prone to long-segment occlusion, severe calcification, and more distal involvement. Therefore, treatment strategies for these patients should be differentiated from other PAD patients. Several recent studies have highlighted different revascularization approaches, treatment techniques, devices, and their efficacy in diabetic foot patients, which promise to relieve ischemic pain, heal foot ulcers, reduce the rate and extent of amputation, and improve patient outcomes. function and quality of life. This review analyzes the clinical research data of different treatment methods for lower extremity revascularization in diabetic foot patients, discusses the advantages of different methods, and introduces the strategies of diabetic foot lower extremity revascularization in detail. The latest treatment techniques and equipment aim to provide readers with a more comprehensive research progress on revascularization of the lower extremity of the diabetic foot. |
| keywords:diabetic foot ulcer revascularization chronic limb-threatening ischemia WIfI angiosome |
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