Diabetic Foot Infection: Preliminary Results of a Fast-Track Program with Early Endovascular Revascularization and Local Surgical Treatment

Troisi, Nicola; Ercolini, Leonardo; Chisci, Emiliano; Baggiore, Cristiana; Chechi, Tania; Manetti, Francesco; Pin, Barbara Del; Virgili, Roberto; Lepri, Giangiuseppe Alberti; Landini, Giancarlo; Michelagnoli, Stefano

doi:10.1016/j.avsg.2015.07.015

Cited by 8 publications

(5 citation statements)

References 23 publications

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“…Diabetes can cause a wide range of vascular diseases, involving arteries, veins, and capillaries. Vascular disease leads to the decrease or even occlusion of blood flow in lower limbs, which becomes the pathological basis of diabetic foot [22]. The major vascular disease caused by diabetes is mainly atherosclerosis.…”

Section: Diabetic Foot Caused By Vascular Lesionmentioning

confidence: 99%

Therapeutic application of adipose-derived stromal vascular fraction in diabetic foot

et al. 2020

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Diabetic foot is one of the severest complications of diabetes. In severe cases, this disease may be lead to amputation or even death due to secondary infection and ischemic necrosis. Since the ineffectiveness of traditional therapy, autologous stem cell transplantation has been used to treat diabetic foot. This simple, safe, and effective therapy is expected to be applied and promoted in the future. In this review, we described the detailed pathogenesis of diabetic foot and the common clinical treatments currently used. We also revealed vascular remodeling as the potential mechanism of therapeutic functions of adipose-derived stromal vascular fraction (SVF) in treating diabetic foot.

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Section: Diabetic Foot Caused By Vascular Lesionmentioning

confidence: 99%

Therapeutic application of adipose-derived stromal vascular fraction in diabetic foot

et al. 2020

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“…Příčinou pokročilosti nálezů nejčastěji bývá opožděné zahájení dispenzarizace rizikových nebo již postižených pacientů v podiatrické ambulanci (2). Nejlepší prognózy obvykle dosahují pacienti se SDN, kteří jsou co nejdříve odesíláni do podiatrických ambulancí oproti referenci do jiných zdravotnických zařízení (1,3). Pokud jsou pacienti odesláni včas, platí pravidlo "Time is tissue".…”

Section: úVodunclassified

Podiatric care from diabetologists point of view

Fejfarová¹,

Koliba²,

Jirkovská³

et al. 2022

Vnitř Lék

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Vyšetření rizika syndromu diabetické nohy (SDN) s následným scoringem by mělo být pravidelně prováděno u každého nemocného s diabetes mellitus (DM). Pacienti v riziku SDN by měli být dispenzarizováni diabetology, rizikovější nebo ty s již rozvinutým SDN by měl sledovat podiatr. Cílem naší studie bylo zjistit rozsah provádění screeningu rizika SDN, dispenzarizace rizikových nemocných a léčby nemocných se SDN v diabetologických ambulancích v ČR.

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“…4,22 Angiography should also be performed when appropriate to assess the potential for revascularization, 8 as this intervention has shown to improve the level of amputation and tissue loss in this group of patients. 11,18,19 Furthermore, Faglia et al demonstrated revascularization in diabetic patients with critical limb ischemia to lead to a low rate of early amputation. 6 Aust et al reported that combining revascularization with operative intervention results in improved wound perfusion and healing of chronic wounds.…”

Section: Rationalementioning

confidence: 99%

Does Revascularization Prior to Foot and Ankle Surgery Reduce the Incidence of Surgical Site Infection (SSI)?

et al. 2019

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Recommendation: Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective foot and ankle surgery. The majority of studies on revascularization are in the setting of diabetic foot infection or established ischemia. We recommend that in the presence of an inadequate vascularization in the foot and ankle, vascular optimization should be undertaken prior to elective surgery. Level of Evidence: Limited. Delegate Vote: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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Diabetic Foot Infection: Preliminary Results of a Fast-Track Program with Early Endovascular Revascularization and Local Surgical Treatment

Cited by 8 publications

References 23 publications

Therapeutic application of adipose-derived stromal vascular fraction in diabetic foot

Therapeutic application of adipose-derived stromal vascular fraction in diabetic foot

Podiatric care from diabetologists point of view

Does Revascularization Prior to Foot and Ankle Surgery Reduce the Incidence of Surgical Site Infection (SSI)?

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