2002
Distal Crural and Pedal Arterial Bypass Limb Saving Revascularisation Surgeries
STAFFA, Robert, Jindřich LEYPOLD, Mojmír PŘÍVARA a Radim HOLUBZákladní údaje
Originální název
Distal Crural and Pedal Arterial Bypass Limb Saving Revascularisation Surgeries
Název anglicky
Distal Crural and Pedal Arterial Bypass Limb Saving Revascularisation Surgeries
Autoři
STAFFA, Robert (203 Česká republika, garant), Jindřich LEYPOLD (203 Česká republika), Mojmír PŘÍVARA (203 Česká republika) a Radim HOLUB (203 Česká republika)
Vydání
Cardivoascular Surgery, Elsevier, 2002, 0967-2109
Další údaje
Jazyk
čeština
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Česká republika
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 0.822
Kód RIV
RIV/00216224:14330/02:00007823
Organizační jednotka
Fakulta informatiky
Klíčová slova anglicky
Distal Crural and Pedal Arterial Bypass
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 15. 7. 2007 20:49, prof. MUDr. Robert Staffa, Ph.D.
V originále
The diabetic foot syndrome results in critical ischemia and gangrene in its final phase. Revascularisation attempts are often the only chance of saving the limb. The authors present case records of three patients with wet gangrene of the foot in whom amputation of the limb was considered owing to adverse angiographic finding and because all possibilities of conservative therapy have been exhausted. A revision of distal segments of crural and pedal arteries and the subsequent bypass implants reversed the previous adverse development. In all three patients, the defects have healed in relatively short time and their limbs were saved. After having described the three above-mentioned clinical cases (picture documentation of the foot defects, angiography before and after the surgery), the authors open the discussion of the prospects of vascular surgery in the dealing with the most serious phases of the diabetic leg syndrome. Angiography often does not provide information on the situation in the distant periphery of limb arteries owing to the fact that the contrast medium cannot penetrate there through the stenotic and obliterated arterial sections or because of the summation with the bone shadow opacity. Even in cases of adverse angiographic findings, the authors recommend a revision of distal crural or pedal arteries. They incline to the present trend towards an aggressive approach if the revascularisation of the endangered limb is indicated. They identify with the opinion that high amputations represents a more serious stress on the patient than the revascularisation surgery.
Anglicky
The diabetic foot syndrome results in critical ischemia and gangrene in its final phase. Revascularisation attempts are often the only chance of saving the limb. The authors present case records of three patients with wet gangrene of the foot in whom amputation of the limb was considered owing to adverse angiographic finding and because all possibilities of conservative therapy have been exhausted. A revision of distal segments of crural and pedal arteries and the subsequent bypass implants reversed the previous adverse development. In all three patients, the defects have healed in relatively short time and their limbs were saved. After having described the three above-mentioned clinical cases (picture documentation of the foot defects, angiography before and after the surgery), the authors open the discussion of the prospects of vascular surgery in the dealing with the most serious phases of the diabetic leg syndrome. Angiography often does not provide information on the situation in the distant periphery of limb arteries owing to the fact that the contrast medium cannot penetrate there through the stenotic and obliterated arterial sections or because of the summation with the bone shadow opacity. Even in cases of adverse angiographic findings, the authors recommend a revision of distal crural or pedal arteries. They incline to the present trend towards an aggressive approach if the revascularisation of the endangered limb is indicated. They identify with the opinion that high amputations represents a more serious stress on the patient than the revascularisation surgery.
Návaznosti
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