Diabetes Mellitus and Localizations of Obliterating Arterial Disease of the Lower Limbs

Rubba, P.; Leccia, G.; Faccenda, F.; Simone, Biagio De; Carbone, Luciano; Pauciullo, Paolo; Vaccaro, Olga; Mancini, Mario

doi:10.1177/000331979104200406

Cited by 9 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The higher prevalence of distal ischaemia in patients with diabetes is consistent with previous results [13]. Distal lesions are of particularly high prevalence in patients with diabetes [14], whereas proximal lesions were suspected to be equally frequent but less severe in patients with diabetes than those without diabetes with critical limb ischaemia [14]. In patients with peripheral artery disease, the prevalence of non‐calf (proximal) claudication has been reported to be 3.8–5.0% [15].…”

Section: Discussionsupporting

confidence: 91%

Exercise treadmill testing in patients with claudication, with and without diabetes

Ouédraogo¹,

Lefthériotis

Vielle³

et al. 2011

Diabetic Medicine

View full text Add to dashboard Cite

Patients with diabetes show more severe limitation on the treadmill and more non-limb symptoms than patients without diabetes, although self-reported walking capacity is comparable between the two groups. Using TcpO2, we confirm that patients with diabetes reporting claudication show more distal ischaemia than patients without diabetes, with no difference at the buttock level. Treadmill testing is of interest in patients with peripheral artery disease and diabetes.

show abstract

Section: Discussionsupporting

confidence: 91%

Exercise treadmill testing in patients with claudication, with and without diabetes

Ouédraogo¹,

Lefthériotis

Vielle³

et al. 2011

Diabetic Medicine

View full text Add to dashboard Cite

show abstract

“…In 53% of the analyzed cases (170 patients) there was a septic condition of the patients upon admission to the hospital, which represented an additional factor of seriousness, adding to an already severe clinical picture of patients affected by a long evolution of the diabetic disease and its complications [11].…”

Section: Results Resultsmentioning

confidence: 99%

The Therapeutic Attitude in Treating Lesions of the Arteriopathic Predominant Diabetic Foot

Bobircă¹,

Catrina²,

Mihalache³

et al. 2014

JTMR

View full text Add to dashboard Cite

Background. The diabetic foot is a complex pathologic entity that includes modifications occurred at the foot level, which can be found either at the layer of nerve, skin, bone or muscle tissue, either on blood vessels. A special issue is that of tardiness in coming to the doctor in such patients that have severe lesions, for the most part requiring the performance of a minor or major amputation, long periods of treatment and permanent social assistance. Data from the medical literature are showing that early and adequate care given to diabetic foot lesions may prevent amputation of the injured limb in as many as 80% of cases. The aim of the research is to clarify the surgical indication for the arteriopathic predominant diabetic foot lesions. Material and methods. A retrospective analysis was performed on a number of 320 predominantly arteriopathic diabetic patients, from the case records of the Cantacuzino Hospital, "I.Juvara" Surgery Clinic, taking into account all aspects related to the compensation and evolution of the diabetic disease, as well as the study of diabetic foot lesions, the surgical therapeutic attitude and the results obtained.Results. An examination of the obtained results reveals the fact that a large number of amputations were performed in 93% of cases (298 patients), of which minor amputations (transphalangeal, transmetatarsal, toe/s and foot) accounted for 69% of cases (220 patients), and major amputations (lower leg and upper leg) accounted for 24% of cases (78 patients). For the rest of the patients, excisional debridements were performed, accompanied by complementary therapy, namely done by applying local topicals. The post surgery evolution has been unfavourable in 7% (22 patients) of the transphalangeal amputation cases, in 16% (51 patients) of the toe amputation patients (transmetatarsal toe/s) and in 4% (13 patients) of the transmetatarsal foot amputation cases, the surgical solution has consisted of a major amputation. Conclusions. The arteriopathic terrain of the diabetic patient, evaluated with the ankle-brachial index, is a major factor in determining the evolution towards amputation.

show abstract

“…4,5 Lower limb atherosclerosis in patients with diabetes tends to occur more distally. 3,6,7 Arteries below the knee are preferentially affected, particularly the peroneal and posterior tibial arteries. Aortoiliac disease is usually less severe.…”

Section: Peripheral Arteriesmentioning

confidence: 99%

Lower limb complications of diabetes mellitus: a comprehensive review with clinicopathological insights from a dedicated high-risk diabetic foot multidisciplinary team

Naidoo

Liu

Mautone

et al. 2015

BJR

View full text Add to dashboard Cite

Diabetic complications in the lower extremity are associated with significant morbidity and mortality, and impact heavily upon the public health system. Early and accurate recognition of these abnormalities is crucial, enabling the early initiation of treatments and thus avoiding or minimizing deformity, dysfunction and amputation. Following careful clinical assessment, radiological imaging is central to the diagnostic and follow-up process. We aim to provide a comprehensive review of diabetic lower limb complications designed to assist radiologists and to contribute to better outcomes for these patients.

show abstract

Diabetes Mellitus and Localizations of Obliterating Arterial Disease of the Lower Limbs

Cited by 9 publications

References 6 publications

Exercise treadmill testing in patients with claudication, with and without diabetes

Exercise treadmill testing in patients with claudication, with and without diabetes

The Therapeutic Attitude in Treating Lesions of the Arteriopathic Predominant Diabetic Foot

Lower limb complications of diabetes mellitus: a comprehensive review with clinicopathological insights from a dedicated high-risk diabetic foot multidisciplinary team

Contact Info

Product

Resources

About